Individual
MARY ALICE YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
553 HADLEY RD, HAYSI, VA 24256-5196
(276) 865-0250
Mailing address
553 HADLEY RD, HAYSI, VA 24256-5196
(276) 865-0250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166543
VA
Other
Enumeration date
05/27/2010
Last updated
10/04/2010
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