Provider Demographics
NPI:1922165034
Name:YEE, MARTHA (NP)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:
Last Name:YEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 971154
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79997-1154
Mailing Address - Country:US
Mailing Address - Phone:915-449-0912
Mailing Address - Fax:915-564-4188
Practice Address - Street 1:4601 KING ARTHUR CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-1500
Practice Address - Country:US
Practice Address - Phone:915-449-0912
Practice Address - Fax:915-564-4188
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX535164363LP0200X, 363LP0222X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
P69155Medicare UPIN