Healthcare Provider Details

I. General information

NPI: 1992907299
Provider Name (Legal Business Name): STEPHANIE S YATES ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DUKE CANCER CTR 20 DUKE MEDICINE CIRCLE ROOM 4N78
DURHAM NC
27710-0001
US

IV. Provider business mailing address

DUKE UNIVERSITY MEDICAL CTR BOX 3677
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-0124
  • Fax: 919-681-9266
Mailing address:
  • Phone: 919-613-2035
  • Fax: 919-613-3900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0050-01745
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: