Yarger, Lisa L
Yarger, Lisa L is an sole proprietor health care provider with primary practice located at 5693 Ymca Park Dr W , Fort Wayne IN 46835-3280. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Yarger, Lisa L can be contacted via phone (260) 425-6500.Contact Information
Primary practice address
5693 Ymca Park Dr W
Fort Wayne IN 46835-3280
Phone: (260) 425-6500
Fax: (260) 425-6505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71000374A | Indiana |
Profile Details
| NPI number | 1548232259 |
|---|---|
| LBN Legal business name | Yarger, Lisa L |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Sep 5th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548232259 | NPPES |
| Other | 000000835186 | ANTHEM | |
| MEDICAID | 200267500 | ANTHEM |
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