Mary Ellen Yealin in Portage - Nurse Practitioner
Mary Ellen Yealin - NPI 1164534582
Mary Ellen Yealin is a Nurse Practitioner in Portage, Michigan. Mary Ellen Yealin practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Ellen Yealin is 1164534582. The last update date is 2007-07-08.
Mary Ellen Yealin's current location address is 7901 Angling Rd, Portage, Michigan. You can contact this provider via phone number 2693248600. The mailing address for Mary Ellen Yealin is 7901 Angling Rd, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Yealin |
|---|---|
| Address | 7901 Angling Rd, Portage, Michigan |
| Phone Number | 2693248600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1164534582 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7901 Angling Rd |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 490240714 |
| Phone Number | 2693248600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704174695 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Ellen Yealin?
The Mary Ellen Yealin has been issued the NPI (National Provider Identifier) 1164534582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mary Ellen Yealin?
The Mary Ellen Yealin is situated at 7901 Angling Rd, in the city of Portage, state of MI, with the zip code 490240714.
What is Mary Ellen Yealin's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Ellen Yealin's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1164534582 to Mary Ellen Yealin?
The Centers for Medicare & Medicaid Services assigned the 1164534582 to Mary Ellen Yealin on 2006-08-31.
When was the information related to Mary Ellen Yealin most recently updated or refreshed?
The details pertaining to the Mary Ellen Yealin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.