Provider Demographics
NPI:1730993247
Name:ARTY, AIDALIX YVONNE (FNP)
Entity type:Individual
Prefix:
First Name:AIDALIX
Middle Name:YVONNE
Last Name:ARTY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 30TH ST UNIT 620
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5975
Mailing Address - Country:US
Mailing Address - Phone:646-824-4951
Mailing Address - Fax:
Practice Address - Street 1:1400 BROADWAY
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-2004
Practice Address - Country:US
Practice Address - Phone:877-855-7526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033825363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily