Provider Demographics
NPI:1932916087
Name:NKEZE, YVONNE ANUTATU (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:ANUTATU
Last Name:NKEZE
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BANCROFT DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-1206
Mailing Address - Country:US
Mailing Address - Phone:706-589-6211
Mailing Address - Fax:
Practice Address - Street 1:754 WARRENTON RD STE 109
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-1098
Practice Address - Country:US
Practice Address - Phone:540-497-2756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA24192028363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health