Healthcare Provider Details

I. General information

NPI: 1770337792
Provider Name (Legal Business Name): LAUREN FAYE YODER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN FAYE DOYLE RN

II. Dates (important events)

Enumeration Date: 04/16/2024
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4885 OLENTANGY RIVER RD STE 1-10
COLUMBUS OH
43214-1953
US

IV. Provider business mailing address

4885 OLENTANGY RIVER RD STE 1-10
COLUMBUS OH
43214-1953
US

V. Phone/Fax

Practice location:
  • Phone: 614-891-4705
  • Fax: 614-568-8050
Mailing address:
  • Phone: 614-891-4705
  • Fax: 614-568-8050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN.CNP.0036531
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: