Provider Demographics
NPI:1174412829
Name:YU, YEONJOO (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:YEONJOO
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5133 MILL POND LOOP SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-3837
Mailing Address - Country:US
Mailing Address - Phone:206-536-8156
Mailing Address - Fax:
Practice Address - Street 1:5133 MILL POND LOOP SE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-3837
Practice Address - Country:US
Practice Address - Phone:206-536-8156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61057426363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily