Provider Demographics
NPI:1861048647
Name:YRSHA, AMY MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MARIE
Last Name:YRSHA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MEDICAL PARK DR STE 208
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-5063
Mailing Address - Country:US
Mailing Address - Phone:518-899-9090
Mailing Address - Fax:
Practice Address - Street 1:6 MEDICAL PARK DR STE 208
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-5053
Practice Address - Country:US
Practice Address - Phone:518-899-9090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF344881-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily