Provider Demographics
NPI:1225702491
Name:ALBERTO MOYA, YAMILET (NP)
Entity Type:Individual
Prefix:
First Name:YAMILET
Middle Name:
Last Name:ALBERTO MOYA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 NE 5TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-8878
Mailing Address - Country:US
Mailing Address - Phone:239-244-4552
Mailing Address - Fax:
Practice Address - Street 1:2816 NE 5TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-8878
Practice Address - Country:US
Practice Address - Phone:239-244-4552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014497363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily