Provider Demographics
NPI:1558803924
Name:YULE, KIMBERLY (WHNP - BC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:YULE
Suffix:
Gender:F
Credentials:WHNP - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 RR 620 S
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-3965
Mailing Address - Country:US
Mailing Address - Phone:512-266-6713
Mailing Address - Fax:
Practice Address - Street 1:211 RR 620 S
Practice Address - Street 2:SUITE 110
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-3965
Practice Address - Country:US
Practice Address - Phone:512-266-6713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP107733363L00000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health