Individual
ANNA R YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2923 GINNALA DR, LOVELAND, CO 80538-2702
(970) 820-4779
Mailing address
50 S B B KING BLVD # 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
122031
CO
363L00000X
Nurse Practitioner
Primary
APN.0005433
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36580023
—
CO
05
—
80627544
—
CO
01
—
GB5993
RR MEDICARE GROUP
CO
Enumeration date
07/10/2006
Last updated
07/18/2022
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