Yastrub, Diane J
Yastrub, Diane J is an sole proprietor health care provider with primary practice located at 9937 E Hidden Treasure Ct , Gold Canyon AZ 85118-5876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Yastrub, Diane J can be contacted via phone (516) 313-5563.Contact Information
Primary practice address
9937 E Hidden Treasure Ct
Gold Canyon AZ 85118-5876
Phone: (516) 313-5563
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F332974-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 235723 | Arizona |
Profile Details
| NPI number | 1003802752 |
|---|---|
| LBN Legal business name | Yastrub, Diane J |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2005 |
| Last updated | Apr 8th, 2020 - about 5 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003802752 | NPPES |
| New York | MEDICAID | 02077645 | |
| New York | Other | P2374172 |
Popular Providers
-
Darling, Candace
18061 E Via Jardin , Gold Canyon AZ 85118-7518 -
Long, Sarah Browne
2000 E Greenville St Ste 3850, Anderson SC 29621-1580 -
Smith, Dana
6410 S Kings Ranch Rd Ste 1 , Gold Canyon AZ 85118-7352 -
Mcdowell, Teresa Beth
1 Plastics Dr , Burkville AL 36752-4001 -
Earl, Jill Van
3413 Harvest Dr , Gordonville PA 17529-9586 -
Kinkel, Glenda L
305 Pawnee Ave , Flagler CO 80815-9286 -
Mcbride, Darrelan Michelle
19251 E Oasis Dr , Black Canyon City AZ 85324-8878 -
Carey, Krystal D
1 Clinic Road , Grand Canyon AZ 86023-0000