Individual
TRACEY W YEAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-2375
Mailing address
142 S MAIN ST, DANVILLE, VA 24541-2922
(434) 799-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
71986
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
0001170056
VA
Other
Enumeration date
08/24/2010
Last updated
08/04/2016
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