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NPI Code Detail

MEDICARE: KRISTIN M YEAGER FNP

MEDICARE: KRISTIN M YEAGER FNP
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
1207Q00000XFamily Medicine Physician817324TX
2363L00000XNurse Practitioner131685TN
3363LF0000XFamily Nurse Practitioner817324TX

General Provider Information

NPI Number : 1831189281
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN M YEAGER FNP
Provider Business Mailing Address
First Line : 6210 E HWY 290
Second Line :
City : AUSTIN
State : TX
Zip : 78723-1142
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6835 AUSTIN CENTER BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78731-3166
Country : US
Telephone Number : 512-346-6611
Fax Number : 512-406-7315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 11/09/2023

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Directions to “ KRISTIN M YEAGER FNP” Practice Location

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