Provider Demographics
NPI:1790183119
Name:AFUALO, EMILIE CHRISTINA (RN)
Entity Type:Individual
Prefix:
First Name:EMILIE
Middle Name:CHRISTINA
Last Name:AFUALO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:EMILIE
Other - Middle Name:CHRISTINA
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:602 E NOB HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98901-3534
Mailing Address - Country:US
Mailing Address - Phone:509-457-6540
Mailing Address - Fax:509-575-0784
Practice Address - Street 1:602 E NOB HILL BLVD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-3534
Practice Address - Country:US
Practice Address - Phone:509-457-6540
Practice Address - Fax:509-575-0784
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-17
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60460487163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health