Healthcare Provider Details

I. General information

NPI: 1851666135
Provider Name (Legal Business Name): NATALIE KRISTA YEANEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 03/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # H18 DEPARTMENT OF NEONATOLOGY
CLEVELAND OH
44195-0001
US

IV. Provider business mailing address

9500 EUCLID AVE DEPARTMENT OF NEONATOLOGY
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2567
  • Fax:
Mailing address:
  • Phone: 216-444-2567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number35074235
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: