Provider Demographics
NPI:1407940521
Name:PRESSON, YUNIKA K (NP)
Entity Type:Individual
Prefix:
First Name:YUNIKA
Middle Name:K
Last Name:PRESSON
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 1:593 EDDY ST
Mailing Address - Street 2:APC 6TH FLOOR
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4923
Mailing Address - Country:US
Mailing Address - Phone:401-793-9173
Mailing Address - Fax:401-444-7203
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:APC 6TH FLOOR
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-793-9173
Practice Address - Fax:401-444-7203
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37423363LP0200X
PAVP0066870363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC007076C95Medicare ID - Type Unspecified