Provider Demographics
NPI:1720878101
Name:HERRERA CHAVEZ, YELITZA ALEXANDRA (RN, FNP)
Entity type:Individual
Prefix:
First Name:YELITZA
Middle Name:ALEXANDRA
Last Name:HERRERA CHAVEZ
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:YELITZA
Other - Middle Name:ALEXANDRA
Other - Last Name:ORTIZ HERRERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:523 HUTCHINGS WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOUSE
Mailing Address - State:CA
Mailing Address - Zip Code:95391-1124
Mailing Address - Country:US
Mailing Address - Phone:408-219-2788
Mailing Address - Fax:
Practice Address - Street 1:523 HUTCHINGS WAY
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOUSE
Practice Address - State:CA
Practice Address - Zip Code:95391-1124
Practice Address - Country:US
Practice Address - Phone:408-219-2788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95033585363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily