Provider Demographics
NPI:1457100091
Name:YANNY, CHRISTENA SAFWAT HENRY
Entity type:Individual
Prefix:
First Name:CHRISTENA
Middle Name:SAFWAT HENRY
Last Name:YANNY
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 1:8307 37TH PL NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-7090
Mailing Address - Country:US
Mailing Address - Phone:206-335-8318
Mailing Address - Fax:
Practice Address - Street 1:8307 37TH PL NE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-7090
Practice Address - Country:US
Practice Address - Phone:206-335-8318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH61513244183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty