Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 0024174617 | VA |
N | 363LA2100X | Nurse Practitioner - Acute Care | SP018096 | PA |
NPI | 1033631734 |
---|---|
Provider Name | Yaneka Rhea Alaimalo |
First Address | Williamsburg, VA 23188-5716 |
Second Address | Williamsburg, VA 23188-5716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2017 |
Last Update Date | 22/07/2020 |