Provider Demographics
NPI:1346572807
Name:YAGER, AIMEE MARIE (DNP CPNP)
Entity Type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:MARIE
Last Name:YAGER
Suffix:
Gender:F
Credentials:DNP CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 WASHINGTON ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2227
Mailing Address - Country:US
Mailing Address - Phone:619-574-5310
Mailing Address - Fax:619-243-0722
Practice Address - Street 1:550 WASHINGTON ST STE 300
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2227
Practice Address - Country:US
Practice Address - Phone:619-574-5310
Practice Address - Fax:619-243-0722
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12840363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1881701332Medicaid