Miranda H Yazzie
Individual provider Active NPI Nurse's Aide · Winterhaven, CA
NPI 1669606554 · NPPES record last updated May 7, 2009
Key facts
- NPI
- 1669606554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- CNA100009951 (AZ)
- Practice address
- One Indian Hill Rd
Winterhaven, CA 92283 - Phone
- (760) 572-4100
- Fax
- (760) 572-2133
- NPI assigned
- May 7, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA100009951 | AZ | MD | Nurse's Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA100009951 | AZ | Yes |
Addresses
Primary practice location
One Indian Hill Rd
Winterhaven, CA 92283
Mailing address
PO Box 1368
Yuma, AZ 85366-1368
Phone (760) 572-4100
Other providers in Winterhaven, CA
All providers in Winterhaven, CA · Nurse's Aide in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.