Individual
AMANDA ROSE YEAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
808 N 3RD ST, GOSHEN, IN 46528-7100
(574) 534-3300
Mailing address
123 OAK RD, PLYMOUTH, IN 46563-9751
(574) 780-1673
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28251364A
IN
Other
Enumeration date
06/11/2025
Last updated
12/18/2025
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