Doctor Name: | MS. LAURA ESTELLA YBARRA |
NPI Number: | 1649414186 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN 34658 |
Business Practice Address: | 943 Hualapai Way Peach Springs, AZ - 864340190 |
Business Phone Number: | 9287692900 |
Business Fax Number: | 9287692701 |
Mailing Address: | 943 Hualapai Way, PEACH SPRINGS |
State: | AZ |
Postal Code: | 864340190 |
Phone Number: | 9284482641 |
Fax Number: | 9284482312 |
NPI Enumeration Date: | 04/28/2009 |
NPI Last Update Date: | 04/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN 34658 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |