Yoder, Alyssa N
Yoder, Alyssa N is an individual health care provider with primary practice located at 1135 Professional Dr , Goshen IN 46526-3800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Yoder, Alyssa N can be contacted via phone (574) 364-4611.Contact Information
Primary practice address
1135 Professional Dr
Goshen IN 46526-3800
Phone: (574) 364-4611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71009877A | Indiana |
Profile Details
| NPI number | 1578194262 |
|---|---|
| LBN Legal business name | Yoder, Alyssa N |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2020 |
| Last updated | Jan 19th, 2021 - about 5 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 | 1578194262 | NPPES |
| Indiana | MEDICAID | 300040841 |
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