Provider Demographics
NPI:1023369535
Name:YU, ALICE (CPNP)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:728 PACIFIC AVE STE 703
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4492
Mailing Address - Country:US
Mailing Address - Phone:415-805-7782
Mailing Address - Fax:415-805-7783
Practice Address - Street 1:728 PACIFIC AVE STE 703
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-4492
Practice Address - Country:US
Practice Address - Phone:415-805-7782
Practice Address - Fax:415-805-7783
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA23035363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics