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NPI Code Detail

MEDICARE: MISS KAYLA YANCHO FNP-BC

MEDICARE: MISS KAYLA YANCHO FNP-BC
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
1363LF0000XFamily Nurse Practitioner4704353273MI

General Provider Information

NPI Number : 1649066978
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS KAYLA YANCHO FNP-BC
Provider Business Mailing Address
First Line : 11700 E 10 MILE RD
Second Line :
City : WARREN
State : MI
Zip : 48089-3903
Country : US
Telephone Number : 810-874-3305
Fax Number : 810-202-7455
Provider Business Practice Location Address
First Line : 11700 E 10 MILE RD
Second Line :
City : WARREN
State : MI
Zip : 48089-3903
Country : US
Telephone Number : 810-620-3163
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2025
Last Update Date : 04/21/2026

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Directions to “ MISS KAYLA YANCHO FNP-BC” Practice Location

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