Provider Demographics
NPI:1881312577
Name:YEE-MARTINEZ, NANKING (RN)
Entity type:Individual
Prefix:
First Name:NANKING
Middle Name:
Last Name:YEE-MARTINEZ
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 1:17188 CHATSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-5727
Mailing Address - Country:US
Mailing Address - Phone:818-321-6491
Mailing Address - Fax:
Practice Address - Street 1:23925 NEWHALL RANCH RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-5701
Practice Address - Country:US
Practice Address - Phone:661-255-7551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95163445163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health