Individual
MS. ROBYN CARROLL YETKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
118
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118
WYOMING BOARD OF MEDICINE
WY
01
—
54RCY07M
WYOMING CONTROLLED SUBSTANCE
WY
Enumeration date
06/05/2008
Last updated
03/07/2023
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