Provider Demographics
NPI:1255122289
Name:YU, MI YE NA (FNP)
Entity type:Individual
Prefix:
First Name:MI YE NA
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MIYENA
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:28241 CROWN VALLEY PKWY STE F312
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-4441
Mailing Address - Country:US
Mailing Address - Phone:253-205-4789
Mailing Address - Fax:
Practice Address - Street 1:1307 W 6TH ST STE 105
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-1644
Practice Address - Country:US
Practice Address - Phone:951-482-9183
Practice Address - Fax:888-873-6220
Is Sole Proprietor?:No
Enumeration Date:2025-05-17
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034943363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily