Provider Demographics
NPI:1861897225
Name:RABIE, YVONNE (RN)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:
Last Name:RABIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:YVONNE
Other - Middle Name:YUJUICO
Other - Last Name:RABIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1341 S FLAXSEED DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-4641
Mailing Address - Country:US
Mailing Address - Phone:520-362-7077
Mailing Address - Fax:
Practice Address - Street 1:HWY 86 MP 74
Practice Address - Street 2:SAN SIMON HEALTH CENTER
Practice Address - City:SAN SIMON
Practice Address - State:AZ
Practice Address - Zip Code:85634
Practice Address - Country:US
Practice Address - Phone:520-362-7077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ131319163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care