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NPI Code Detail

MEDICARE: NADINE ANDREA YOHN CRNP

MEDICARE: NADINE ANDREA YOHN CRNP
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
1363LG0600XGerontology Nurse PractitionerSP030193PA
2363LP2300XPrimary Care Nurse PractitionerSP030193PA

General Provider Information

NPI Number : 1396573192
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADINE ANDREA YOHN CRNP
Provider Business Mailing Address
First Line : 1034 GROVE ST
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-2945
Country : US
Telephone Number : 814-373-4298
Fax Number : 814-724-2196
Provider Business Practice Location Address
First Line : 991 PARK AVE
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-3344
Country : US
Telephone Number : 814-373-4298
Fax Number : 814-724-2196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2024
Last Update Date : 08/27/2024

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