Provider Demographics
NPI:1699190967
Name:M Y ARNP LLC
Entity Type:Organization
Organization Name:M Y ARNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:YARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-889-9706
Mailing Address - Street 1:5568 GOLDEN EAGLE CIR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-1523
Mailing Address - Country:US
Mailing Address - Phone:561-889-9706
Mailing Address - Fax:561-694-7981
Practice Address - Street 1:5568 GOLDEN EAGLE CIR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-1523
Practice Address - Country:US
Practice Address - Phone:561-889-9706
Practice Address - Fax:561-694-7981
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-24
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP919829363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty