Ms. Yolanda Mata
Nurse Practitioner - Primary Care
257 N Dewitt Ave
Fresno
, California 93727-3312
Ms. Yolanda Mata
Nurse Practitioner - Primary Care
257 N Dewitt Ave
Fresno
, California 93727-3312
(559) 255-1373
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Ms. Yolanda Mata
- 257 N Dewitt Ave
- Fresno, CA
- Zip : 93727-3312
- Phone : (559) 255-1373
Second Address
- Ms. Yolanda Mata
- 257 N Dewitt Ave
- Fresno, CA
- Zip : 93727-3312
- Phone : (559) 255-1373
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Is Ms. Yolanda Mata a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 18836 | CA |
National Provider Identifier
| NPI | 1003123183 |
|---|---|
| Provider Name | Ms. Yolanda Mata |
| First Address | Fresno, CA 93727-3312 |
| Second Address | Fresno, CA 93727-3312 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/09/2010 |
| Last Update Date | 09/09/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.