Provider Demographics
NPI:1699836700
Name:YARBROUGH, BELINDA D (APN)
Entity Type:Individual
Prefix:MRS
First Name:BELINDA
Middle Name:D
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 UNIVERSITY DR E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77840-2600
Mailing Address - Country:US
Mailing Address - Phone:979-846-1100
Mailing Address - Fax:979-260-9390
Practice Address - Street 1:1301 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-5205
Practice Address - Country:US
Practice Address - Phone:979-731-4520
Practice Address - Fax:979-731-4570
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX574275363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX022513802Medicaid
TX74-1830OtherPTAN SJHPBRYAN
TX1497183883OtherBVCAA DBA: ST. JOSEPH HEALTH POINT BRYAN FACILITY NPI
TX1497183883OtherBVCAA DBA: ST. JOSEPH HEALTH POINT BRYAN FACILITY NPI