Healthcare Provider Details

I. General information

NPI: 1124614326
Provider Name (Legal Business Name): SAMANTHA JOSEPHINE YAVOREK PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2020
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1998 HENDERSONVILLE RD STE 53
ASHEVILLE NC
28803-2192
US

IV. Provider business mailing address

PO BOX 360
SYLVA NC
28779-0360
US

V. Phone/Fax

Practice location:
  • Phone: 828-585-5489
  • Fax: 855-308-2340
Mailing address:
  • Phone: 888-339-6065
  • Fax: 828-538-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-15643
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: