Provider Demographics
NPI:1427273796
Name:NARCISSE, YANOUCHKA D (MD)
Entity type:Individual
Prefix:DR
First Name:YANOUCHKA
Middle Name:D
Last Name:NARCISSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 579
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-0579
Mailing Address - Country:US
Mailing Address - Phone:724-543-8164
Mailing Address - Fax:724-543-8616
Practice Address - Street 1:300 MEDICAL ARTS BLDG
Practice Address - Street 2:SUITE 300
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-7129
Practice Address - Country:US
Practice Address - Phone:724-543-8784
Practice Address - Fax:724-543-8764
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431013207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD431013OtherPA STATE LICENSE