Andrew Yim
Nurse Practitioner, Family in New Haven, CT. Individual provider (NPI-1).
NPI number1902874530
StatusActive
Last updated in NPPESFeb 29, 2012
Details
- NPI
- 1902874530
- Entity type
- Individual (NPI-1)
- Name
- Andrew Yim
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2006
- Last updated
- Feb 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 002945 | CT | Yes |
Practice location
400 Columbus AveNew Haven, CT 06519-1233
Phone 203-503-3250 · Fax 203-503-3254
Mailing address
400 Columbus AveNew Haven, CT 06519-1233
Phone 203-503-3250 · Fax 203-503-3254
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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