Provider Demographics
NPI:1487639837
Name:YARDLEY, SHIRLEY (APRN)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:YARDLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3016 W CHARLESTON BLVD
Mailing Address - Street 2:#180 SOUTHERN NEVADA NEONATAL SERVICES INC
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:702-384-8099
Mailing Address - Fax:702-384-3930
Practice Address - Street 1:3016 W CHARLESTON BLVD
Practice Address - Street 2:#180 SOUTHERN NEVADA NEONATAL SERVICES INC
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:702-384-8099
Practice Address - Fax:702-384-3930
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVAPRN00835364SN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SN0000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistNeonatal