Provider Demographics
NPI:1174927214
Name:YEPIZ-WANG, MARIA (FNP-BC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:YEPIZ-WANG
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 W CLINTON CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-8538
Mailing Address - Country:US
Mailing Address - Phone:559-909-1545
Mailing Address - Fax:
Practice Address - Street 1:311 W NOBLE AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-2669
Practice Address - Country:US
Practice Address - Phone:559-625-9200
Practice Address - Fax:559-625-0665
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA580472363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily