Healthcare Provider Details

I. General information

NPI: 1861470098
Provider Name (Legal Business Name): EMMA LOIS YODER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2913 E. RED ROCK RD
HUTCHINSON KS
67501
US

IV. Provider business mailing address

5506 S RIVERTON RD
PARTRIDGE KS
67566-9489
US

V. Phone/Fax

Practice location:
  • Phone: 620-465-2712
  • Fax: 620-465-2712
Mailing address:
  • Phone: 620-567-2627
  • Fax: 620-465-2712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number64035
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: