Healthcare Provider Details

I. General information

NPI: 1336183557
Provider Name (Legal Business Name): PATRICIA M YAUCH ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HARBOUR WOMEN'S HEALTH 155 GRIFFIN ROAD
PORTSMOUTH NH
03801-4125
US

IV. Provider business mailing address

11 HEMLOCK RIDGE LN
YORK ME
03909-5343
US

V. Phone/Fax

Practice location:
  • Phone: 603-431-6011
  • Fax: 603-431-6227
Mailing address:
  • Phone: 207-363-8778
  • Fax: 603-431-6227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number048387-23-04
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: