Most Relevant Information
Provider Data
| NPI Number: | 1003802752 |
| Provider Name: | DIANE J YASTRUB FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | F332974-1 |
Most Important Dates
| Enumeration Date: | 09/27/2005 |
| Last Updated: | 04/08/2020 |
Provider Practice Location
9937 E HIDDEN TREASURE CT
GOLD CANYON
AZ
851185876
Practice Location Phone/Fax
| Phone: | 5163135563 |
| Fax: |
Provider Mailing Location
9937 E HIDDEN TREASURE CT
GOLD CANYON
AZ
851185876
Provider Mailing Phone/Fax
| Phone: | 5163135563 |
| Fax: |