Provider Demographics
NPI:1841815370
Name:YAZMIR, YANA (CRNP)
Entity type:Individual
Prefix:
First Name:YANA
Middle Name:
Last Name:YAZMIR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 GREEN MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1988
Mailing Address - Country:US
Mailing Address - Phone:215-687-5902
Mailing Address - Fax:
Practice Address - Street 1:2109 RED LION RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-1711
Practice Address - Country:US
Practice Address - Phone:732-486-7373
Practice Address - Fax:732-782-7200
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022101363LA2100X
PARN545968163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care