Provider Demographics
NPI:1215960711
Name:YIM, YENI Y (CNM)
Entity type:Individual
Prefix:
First Name:YENI
Middle Name:Y
Last Name:YIM
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:YENI
Other - Middle Name:Y
Other - Last Name:TRINH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 27829
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125
Mailing Address - Country:US
Mailing Address - Phone:505-232-1920
Mailing Address - Fax:505-727-9276
Practice Address - Street 1:201 CEDAR ST SE STE 405
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4924
Practice Address - Country:US
Practice Address - Phone:505-764-9535
Practice Address - Fax:505-843-5645
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM535176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM35828064Medicaid
NM35828064Medicaid
NM343605901Medicare ID - Type Unspecified