Individual
MRS. KRISTA LYNNE YEZBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BC-FNP
Contact information
Practice address
1051 N CANTON CENTER RD, CANTON, MI 48187-5097
(734) 884-5400
(734) 844-5298
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108-1633
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704189915
MI
Other
Enumeration date
10/04/2005
Last updated
02/14/2013
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