Healthcare Provider Details

I. General information

NPI: 1821020439
Provider Name (Legal Business Name): ADAM L YODER MS, BSN, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 10/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8330 ALLISON POINTE TRL AHDI
INDIANAPOLIS IN
46250-1682
US

IV. Provider business mailing address

16760 YEOMAN WAY
WESTFIELD IN
46074-8092
US

V. Phone/Fax

Practice location:
  • Phone: 317-284-7687
  • Fax:
Mailing address:
  • Phone: 317-867-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28184984A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number28184984A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: