Provider Demographics
NPI:1396803557
Name:DARR, YVONNE E (NP)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:E
Last Name:DARR
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3707 SW 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2084
Mailing Address - Country:US
Mailing Address - Phone:785-270-4600
Mailing Address - Fax:785-270-4628
Practice Address - Street 1:3707 SW 6TH AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2084
Practice Address - Country:US
Practice Address - Phone:785-270-4600
Practice Address - Fax:785-270-4628
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2016-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45779363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098080COtherSED WAIVER PROVIDER #
KS200432810BMedicaid
KS100098080AMedicaid
KS110661002Medicare PIN
KS362E242Medicare UPIN
KS17-4602Medicare ID - Type Unspecified
KS100098080COtherSED WAIVER PROVIDER #
KS110661002Medicare PIN