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Individual

BREANNA RENEE YARNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
700 MONROE RD, LEBANON, OH 45036-1409
(513) 932-0105
Mailing address
3958 BROWN PARK DR STE D, HILLIARD, OH 43026-1160
(570) 772-8723

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN651468
PA
363L00000X
Nurse Practitioner
Primary
SP025364
PA
363LF0000X
Family Nurse Practitioner
APRN.CNP.0037235
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1040004500001
PA
01
2B0710
MECICARE
PA
Enumeration date
01/18/2022
Last updated
09/03/2024
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