Provider Demographics
NPI:1447886064
Name:HECHAVARRIA, YAMILETH (NP)
Entity type:Individual
Prefix:
First Name:YAMILETH
Middle Name:
Last Name:HECHAVARRIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6707 CREEK VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-6172
Mailing Address - Country:US
Mailing Address - Phone:832-283-8082
Mailing Address - Fax:
Practice Address - Street 1:17550 W LITTLE YORK RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6321
Practice Address - Country:US
Practice Address - Phone:281-861-5565
Practice Address - Fax:281-861-5564
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-15
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145485163WG0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice