Healthcare Provider Details

I. General information

NPI: 1033215355
Provider Name (Legal Business Name): JO ANN CATHERINE YOST RN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 WEST MAIN ST
ELMA WA
98541
US

IV. Provider business mailing address

PO BOX 480
ELMA WA
98541-0480
US

V. Phone/Fax

Practice location:
  • Phone: 360-482-5298
  • Fax: 360-482-5157
Mailing address:
  • Phone: 360-482-5298
  • Fax: 360-482-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP30000005
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: