Individual
AUDRA YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1974 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051-7906
(859) 359-5404
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
Y02742823
KY
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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