Provider Demographics
NPI:1235703364
Name:YAHL, COLEEN (FNP-C, WCC)
Entity type:Individual
Prefix:MRS
First Name:COLEEN
Middle Name:
Last Name:YAHL
Suffix:
Gender:F
Credentials:FNP-C, WCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26900 N LAKE PLEASANT PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1558
Mailing Address - Country:US
Mailing Address - Phone:480-712-6950
Mailing Address - Fax:
Practice Address - Street 1:26900 N LAKE PLEASANT PKWY STE 202
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1558
Practice Address - Country:US
Practice Address - Phone:480-712-6950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-13
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ281095363LP2300X
AZRN206013163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse