Individual
ETTA MARIA YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
37488 SEVEN OAKS AVE, PRAIRIEVILLE, LA 70769-4355
(198) 568-8897
Mailing address
8742 GOODWOOD BLVD, BATON ROUGE, LA 70806-7915
(985) 688-8970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
221209
LA
Other
Enumeration date
07/26/2021
Last updated
10/21/2021
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