Doctor Name: | MRS. MELEAH BETH YATES |
NPI Number: | 1346516127 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1-116122 |
Business Practice Address: | 1604 Stouts Rd Fultondale, AL - 350681962 |
Business Phone Number: | 2058499811 |
Business Fax Number: | |
Mailing Address: | 4173 Hathaway Ln, MOUNT OLIVE |
State: | AL |
Postal Code: | 351173487 |
Phone Number: | 2057439930 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2012 |
NPI Last Update Date: | 03/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1-116122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |