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Individual

ELIZABETH ANNE YEATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 374-6271
Mailing address
530 BOGACHIEL WAY, FORKS, WA 98331-9120

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
AP60974090
WA
363L00000X
Nurse Practitioner
AP60974090
WA
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
AP60974090
WA

Other

Enumeration date
07/10/2019
Last updated
05/21/2025
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