Healthcare Provider Details

I. General information

NPI: 1902143399
Provider Name (Legal Business Name): HOLLY LYN YEAGER CD(DONA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2013
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 ROYAL RD
LANCASTER PA
17603-7012
US

IV. Provider business mailing address

2706 ROYAL RD
LANCASTER PA
17603-7012
US

V. Phone/Fax

Practice location:
  • Phone: 717-203-1678
  • Fax:
Mailing address:
  • Phone: 717-203-1678
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number9055
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code175M00000X
TaxonomyLay Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: