Healthcare Provider Details

I. General information

NPI: 1932192846
Provider Name (Legal Business Name): ANNE YEAKEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9413 KOUPELA DR
RALEIGH NC
27615-2233
US

IV. Provider business mailing address

9413 KOUPELA DR
RALEIGH NC
27615-2233
US

V. Phone/Fax

Practice location:
  • Phone: 919-424-6088
  • Fax: 919-483-5404
Mailing address:
  • Phone: 919-424-6088
  • Fax: 919-483-5404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number10811
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number10811
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: