Provider Demographics
NPI:1881929404
Name:YEE, EMILY CHAN (NP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:CHAN
Last Name:YEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:WING YEE
Other - Last Name:CHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 0210
Mailing Address - Street 2:11 LONG NURSING STATION
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2204
Mailing Address - Country:US
Mailing Address - Phone:415-353-1383
Mailing Address - Fax:415-353-1851
Practice Address - Street 1:505 PARNASSUS AVE
Practice Address - Street 2:11 LONG NURSING STATION
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2204
Practice Address - Country:US
Practice Address - Phone:415-353-1383
Practice Address - Fax:415-353-1851
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17262363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA17262OtherNURSE PRACTITIONER LICENSE