MEDICARE: RENEE ELIZABETH YEAGER APRN, CNM

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	367A00000X	Advanced Practice Midwife	APRN.CNM.0019583	OH

General Provider Information

NPI Number	:	1528505880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE ELIZABETH YEAGER APRN, CNM

Provider Business Mailing Address
First Line	:	2049 STOWBRIDGE RD
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-8903
Country	:	US
Telephone Number	:	501-209-0723
Fax Number	:

Provider Business Practice Location Address
First Line	:	3530 SNOUFFER RD STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-2702
Country	:	US
Telephone Number	:	614-541-2229
Fax Number	:	614-541-2244

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

Provider Enumeration Date	:	01/25/2017
Last Update Date	:	01/18/2024

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