| NPI | 1962822189 |
|---|---|
| Former Name | TRACY NICOLE YONAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN64876) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.16632-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV APRN64876-FNP-BC) | |
| Enumeration Date | 2014-04-27 |
| Last Update Date | 2020-05-20 |