Provider Demographics
NPI:1750077897
Name:HEIDI LYNN YIP, NP IN ACUTE CARE PLLC
Entity type:Organization
Organization Name:HEIDI LYNN YIP, NP IN ACUTE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:YIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-433-8050
Mailing Address - Street 1:10 LATOUR MNR
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-4637
Mailing Address - Country:US
Mailing Address - Phone:585-433-8050
Mailing Address - Fax:585-492-9022
Practice Address - Street 1:6536 ANTHONY DR STE C
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-1419
Practice Address - Country:US
Practice Address - Phone:315-945-3337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service