Individual
REGINA LYNN YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
221 RED COACH DR, MISHAWAKA, IN 46545-8323
(574) 335-7630
(574) 335-0841
Mailing address
707 CEDAR ST STE 200, SOUTH BEND, IN 46617-2057
(574) 335-8707
(574) 335-0741
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704337445
MI
363LF0000X
Family Nurse Practitioner
Primary
71009162A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704337445
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034979
—
IN
Enumeration date
02/21/2019
Last updated
07/06/2021
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