Individual
HOLLY YEATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2132 E 3RD ST, DAYTON, OH 45403-1991
(937) 528-6850
(937) 528-6810
Mailing address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP07594
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2623316
—
OH
Enumeration date
07/11/2006
Last updated
10/06/2021
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