MEDICARE: DEBORAH A YEAGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1285275099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH A YEAGER

Provider Business Mailing Address
First Line	:	PO BOX 306
Second Line	:
City	:	SAINT ALBANS
State	:	ME
Zip	:	04971-0306
Country	:	US
Telephone Number	:	386-801-2214
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 OTTER COVE
Second Line	:
City	:	SAINT ALBANS
State	:	ME
Zip	:	04971
Country	:	US
Telephone Number	:	386-801-2214
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2019
Last Update Date	:	10/02/2019

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Directions to “ DEBORAH A YEAGER ” Practice Location

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