Individual
JANET L YAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2215 BURDETT AVE, TROY, NY 12180-2466
(518) 270-3008
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
336982
NY
363LF0000X
Family Nurse Practitioner
F336982
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401968
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5661
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
Enumeration date
09/10/2010
Last updated
04/29/2022
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