Doctor Name: | RACHEL NAOMI YADON |
NPI Number: | 1316286388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, FNP-C |
License Number: | 85289 |
Business Practice Address: | 505 S Main St Porter, OK - 744541015 |
Business Phone Number: | 9184830111 |
Business Fax Number: | |
Mailing Address: | 5012 N 34th St, BROKEN ARROW |
State: | OK |
Postal Code: | 740141725 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/11/2013 |
NPI Last Update Date: | 02/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 85289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |