Provider Demographics
NPI:1417255449
Name:YAMANAKA-YUEN, NANCY A (RPH)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:YAMANAKA-YUEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:A
Other - Last Name:YUEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:216 ROSEDALE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8119
Mailing Address - Country:US
Mailing Address - Phone:919-451-9681
Mailing Address - Fax:
Practice Address - Street 1:216 ROSEDALE CREEK DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8119
Practice Address - Country:US
Practice Address - Phone:919-451-9681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18205183500000X
HIPH-2863183500000X
CARPH37114183500000X
WAPH00011575183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist