Provider Demographics
NPI:1609041656
Name:BAKUYA-ORONA, YUKI (WHNP BC)
Entity Type:Individual
Prefix:MRS
First Name:YUKI
Middle Name:
Last Name:BAKUYA-ORONA
Suffix:
Gender:F
Credentials:WHNP BC
Other - Prefix:MRS
Other - First Name:YUKI
Other - Middle Name:
Other - Last Name:GOYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP-BC
Mailing Address - Street 1:1348 MARTA DURON LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6869
Mailing Address - Country:US
Mailing Address - Phone:915-526-1394
Mailing Address - Fax:
Practice Address - Street 1:11040 VISTA DEL SOL DR STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-4316
Practice Address - Country:US
Practice Address - Phone:915-591-4624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX635763363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1770547Medicaid
TX1770547Medicaid
Q49517Medicare UPIN