MEDICARE: MS. YVONNE L. FENRICH WHCNP, MSN

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
1	367A00000X	Advanced Practice Midwife	093000329N5/RN	OR

General Provider Information

NPI Number	:	1376588111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YVONNE L. FENRICH WHCNP, MSN

Provider Business Mailing Address
First Line	:	705 ELM ST SW
Second Line	:
City	:	ALBANY
State	:	OR
Zip	:	97321-1956
Country	:	US
Telephone Number	:	541-812-4850
Fax Number	:	541-812-4889

Provider Business Practice Location Address
First Line	:	1229, 1890 WAITE ST #1
Second Line	:
City	:	NORTH BEND
State	:	OR
Zip	:	97459
Country	:	US
Telephone Number	:	541-756-6232
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2006
Last Update Date	:	07/01/2019

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