Provider Demographics
NPI:1336560663
Name:YAPJOCO, LOURDES (RN)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:
Last Name:YAPJOCO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1889 PAPAGO LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3375
Mailing Address - Country:US
Mailing Address - Phone:702-249-3981
Mailing Address - Fax:702-759-1436
Practice Address - Street 1:330 S VALLEY VIEW BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-4361
Practice Address - Country:US
Practice Address - Phone:702-759-0799
Practice Address - Fax:702-759-1436
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN 30794163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health