Individual
MRS. ANDREA YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11040 N STATE ROAD 77, HAYWARD, WI 54843-3606
(715) 934-4850
Mailing address
11040 N STATE ROAD 77, HAYWARD, WI 54843-3606
(715) 934-4850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2516
OK
363A00000X
Physician Assistant
Primary
4757
WI
363AM0700X
Medical Physician Assistant
2516
OK
Other
Enumeration date
06/16/2015
Last updated
06/11/2020
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