Healthcare Provider Details

I. General information

NPI: 1306026968
Provider Name (Legal Business Name): YOLANDA RANE ROPER RN BSN 344547
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2007
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 TROY ST
DAYTON OH
45404-1852
US

IV. Provider business mailing address

813 TROY ST
DAYTON OH
45404-1852
US

V. Phone/Fax

Practice location:
  • Phone: 937-982-1500
  • Fax: 937-982-1600
Mailing address:
  • Phone: 937-982-1500
  • Fax: 937-982-1600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN103505
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number334547
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: