| Doctor Name: | DONNA YATES |
| NPI Number: | 1346295607 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BC, FNP |
| License Number: | 058329 |
| Business Practice Address: | 600 Purcell Dr Suite B Potosi, MO - 63664 |
| Business Phone Number: | 5734389355 |
| Business Fax Number: | 5734387892 |
| Mailing Address: | 113 S Norwine St, BONNE TERRE |
| State: | MO |
| Postal Code: | 636281644 |
| Phone Number: | 5734399355 |
| Fax Number: | 5734387892 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 03/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 058329 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |