# AMY ALLISON YEATES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568123610
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2471259 | ID | — |
| 261QP2300X | Primary Care Clinic/Center | 2471259 | ID | — |
| 363A00000X | Physician Assistant | 2471259 | ID | Yes |

## Other

- **Enumeration date:** 12/30/2021
- **Last updated:** 03/27/2026