Provider Demographics
NPI:1003897166
Name:YARRISH, JOANNE TIMPSON (FNP/CNM)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:TIMPSON
Last Name:YARRISH
Suffix:
Gender:F
Credentials:FNP/CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 SOUTH BERRY KNOLL BLVD.
Mailing Address - Street 2:PO BOX 1549
Mailing Address - City:COLORADO CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86021-1549
Mailing Address - Country:US
Mailing Address - Phone:928-875-8750
Mailing Address - Fax:928-875-8752
Practice Address - Street 1:1675 SOUTH BERRY KNOLL BLVD.
Practice Address - Street 2:STE. A
Practice Address - City:COLORADO CITY
Practice Address - State:AZ
Practice Address - Zip Code:86022-1549
Practice Address - Country:US
Practice Address - Phone:928-875-8750
Practice Address - Fax:928-875-8752
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN-083151363LF0000X
AZAP6829176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No176B00000XOther Service ProvidersMidwife