| Dwayne Yee, FNP-BC | |
|
15230 Lakeshore Dr, Clearlake, CA 95422-8107 | |
| (707) 995-4500 | |
| Not Available |
| Full Name | Dwayne Yee |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 15230 Lakeshore Dr, Clearlake, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891422416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95022112 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Dwayne Yee, FNP-BC 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 | Dwayne Yee, FNP-BC 15230 Lakeshore Dr, Clearlake, CA 95422-8107 Ph: (707) 995-4500 |
Ms. Stephenie Hargrove, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 | |
Martina Sara Cordova, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 | |
Ms. Katherine Robin Willems, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 | |
Suzan Lewil, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4545 | |
Ann C Larocca, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 | |
Ciaran George Carroll, FNP, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-2400 | |
Mr. Rommel B Gayagoy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15230 Lakeshore Dr, Clearlake, CA 95422 Phone: 707-995-4500 |