Provider Demographics
NPI:1023658739
Name:YEE, CAROLYN P
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:P
Last Name:YEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 W EL FREDA RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-5267
Mailing Address - Country:US
Mailing Address - Phone:480-241-9220
Mailing Address - Fax:
Practice Address - Street 1:2519 E RIVIERA DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-6044
Practice Address - Country:US
Practice Address - Phone:480-590-3068
Practice Address - Fax:480-590-3068
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility