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NPI Code Detail

MEDICARE: MRS. TESSA LYNN YATES CNM, WHNP

MEDICARE: MRS. TESSA LYNN YATES CNM, WHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice MidwifeCNM2073TX
2367A00000XAdvanced Practice MidwifeAP126014TX

General Provider Information

NPI Number : 1033522867
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TESSA LYNN YATES CNM, WHNP
Provider Business Mailing Address
First Line : 6 BURNSIDE
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76310-1128
Country : US
Telephone Number : 940-723-8151
Fax Number : 940-723-8815
Provider Business Practice Location Address
First Line : 6 BURNSIDE
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76310-1128
Country : US
Telephone Number : 940-723-8151
Fax Number : 940-723-8815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2014
Last Update Date : 12/20/2023

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