Individual
MINDY JOY YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2101 E COLISEUM BLVD, WALB 234, FORT WAYNE, IN 46805-1445
(260) 481-5748
(260) 481-5752
Mailing address
2101 E COLISEUM BLVD, WALB 234, FORT WAYNE, IN 46805-1445
(260) 481-5748
(260) 481-5752
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000200A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278944
ANTHEM
IN
05
—
200251680
—
IN
Enumeration date
07/18/2006
Last updated
04/22/2008
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