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NPI Code Detail

MEDICARE: STACY ANN BOYER YANNEY

MEDICARE: STACY ANN BOYER YANNEY
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
1363A00000XPhysician Assistant
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1962369389
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY ANN BOYER YANNEY
Provider Business Mailing Address
First Line : 2005 ASHLAND AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1703
Country : US
Telephone Number : 419-841-7701
Fax Number :
Provider Business Practice Location Address
First Line : 2005 ASHLAND AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43620-1703
Country : US
Telephone Number : 419-841-7701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ STACY ANN BOYER YANNEY ” Practice Location

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