Provider Demographics
NPI:1851006068
Name:CAMACHO YAU, KATELYN NELYSE (BSN)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:NELYSE
Last Name:CAMACHO YAU
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1055 SPRINGFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:AL
Mailing Address - Zip Code:35043-2007
Mailing Address - Country:US
Mailing Address - Phone:662-603-4656
Mailing Address - Fax:
Practice Address - Street 1:1055 SPRINGFIELD DR
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:AL
Practice Address - Zip Code:35043-2007
Practice Address - Country:US
Practice Address - Phone:662-603-4656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-155148363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal