Provider Demographics
NPI:1073269601
Name:YANEZ, ERIKA B (FNP-C)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:B
Last Name:YANEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 S GRANDEE AVE
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90220-4556
Mailing Address - Country:US
Mailing Address - Phone:323-812-8723
Mailing Address - Fax:
Practice Address - Street 1:1508 S GRANDEE AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90220-4556
Practice Address - Country:US
Practice Address - Phone:323-812-8723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF10211126363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily