Provider Demographics
NPI:1093254658
Name:YENGST, TAYLOR ZAHN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:ZAHN
Last Name:YENGST
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:TAYLOR
Other - Middle Name:LYNN
Other - Last Name:ZAHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:213 S JEFFERSON ST STE 1006
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:540-224-5352
Mailing Address - Fax:
Practice Address - Street 1:2001 CRYSTAL SPRING AVE SW STE 203
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-2465
Practice Address - Country:US
Practice Address - Phone:540-981-8749
Practice Address - Fax:540-981-9305
Is Sole Proprietor?:No
Enumeration Date:2017-02-15
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN276101363L00000X
VA0024174545363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner