Provider Demographics
NPI:1508165077
Name:YAMNIK, ALEXANDRA (CNM)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:YAMNIK
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2923 23RD ST UNIT 1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3430
Mailing Address - Country:US
Mailing Address - Phone:612-598-0963
Mailing Address - Fax:
Practice Address - Street 1:2923 23RD ST UNIT 1
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3430
Practice Address - Country:US
Practice Address - Phone:612-598-0963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-22
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13142261QB0400X, 282NW0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NW0100XHospitalsGeneral Acute Care HospitalWomen
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing