Individual
LOUISE C. YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-2000
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00234400
NJ
367500000X
Certified Registered Nurse Anesthetist
L6-0A00778
DE
367500000X
Certified Registered Nurse Anesthetist
NO10373000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NO10373000
STATE LICENSE
NJ
Enumeration date
01/24/2007
Last updated
10/28/2019
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