| NPI | 1215480900 |
|---|---|
| Former Name | AMANDA LYNN YEARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH NP-019707) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN302986) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-08-18 |