Yacula, Carol

Yacula, Carol is an individual health care provider with primary practice located at 1011 Bowles Ave Ste G50 , Fenton MO 63026-0562. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Yacula, Carol can be contacted via phone (636) 496-4640.

Contact Information

Primary practice address
1011 Bowles Ave Ste G50 Fenton MO 63026-0562
Phone: (636) 496-4640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 10019605 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2016017862 Missouri

Profile Details

NPI number 1336691815
LBN Legal business name Yacula, Carol
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2016
Last updated Feb 6th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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