Individual
LARRY JOHN YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2408 1ST AVENUE, ELIZABETHTOWN, NC 28337
(910) 872-0267
Mailing address
2408 1ST AVE, ELIZABETHTOWN, NC 28337
(910) 872-0267
(910) 715-1926
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
147987
NC
367500000X
Certified Registered Nurse Anesthetist
RNA203022
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051316
—
NC
Enumeration date
07/12/2005
Last updated
01/26/2021
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