=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861352296
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MONICA RENE YATES NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/17/2025
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1051 CARE WAY
-----------------------------------------------------
City | FREDERICKSBURG
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22401-8425
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-374-3131
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6300 STATE PARK LN
-----------------------------------------------------
City | SPOTSYLVANIA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22551-6517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-292-4253
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LA2100X
-----------------------------------------------------
Taxonomy Name | Acute Care Nurse Practitioner
-----------------------------------------------------
License Number | 0024194009
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------