Provider Demographics
NPI:1659719128
Name:YAKE, CARISA V (RN)
Entity Type:Individual
Prefix:MS
First Name:CARISA
Middle Name:V
Last Name:YAKE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19926 E 1ST CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99016-5152
Mailing Address - Country:US
Mailing Address - Phone:509-389-6771
Mailing Address - Fax:509-242-3338
Practice Address - Street 1:19926 E 1ST CT
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99016-5152
Practice Address - Country:US
Practice Address - Phone:509-389-6771
Practice Address - Fax:509-242-3338
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-06
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00144881163W00000X
AZRN162930163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse