1306299540 NPI number — AMBER CHRISTY YOPP CPP

Table of content: AMBER CHRISTY YOPP CPP (NPI 1306299540)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306299540 NPI number — AMBER CHRISTY YOPP CPP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
YOPP
Provider First Name:
AMBER
Provider Middle Name:
CHRISTY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CPP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SELLERS
Provider Other First Name:
AMBER
Provider Other Middle Name:
CHRISTY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1306299540
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/07/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
40 DUKE MEDICINE CIR # 2F2G
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURHAM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27710-4000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-681-1300
Provider Business Mailing Address Fax Number:
919-613-6984

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
40 DUKE MEDICINE CIR # 2F2G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27710-4418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-681-1300
Provider Business Practice Location Address Fax Number:
919-613-6984
Provider Enumeration Date:
07/22/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  26049 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 700239 . This is a "CLINICAL PHARMACIST PRACTITIONER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com