Individual
ANDREA F YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6898
Mailing address
2518 E DUPONT RD, FORT WAYNE, IN 46825-1675
(260) 432-4400
(260) 969-6898
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28087701A
IN
363L00000X
Nurse Practitioner
72000031A
IN
367A00000X
Advanced Practice Midwife
Primary
09000211A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200237660
—
IN
Enumeration date
10/25/2005
Last updated
12/21/2016
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