Individual
SEAN YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(918) 404-5557
Mailing address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(918) 404-5557
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
200189
OK
363LA2100X
Acute Care Nurse Practitioner
60074
NM
363LA2100X
Acute Care Nurse Practitioner
Primary
AP127781
TX
Other
Enumeration date
03/20/2015
Last updated
11/10/2025
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