Provider Demographics
NPI:1114373438
Name:ROHRER, YADIRA G (RN, FNP)
Entity Type:Individual
Prefix:
First Name:YADIRA
Middle Name:G
Last Name:ROHRER
Suffix:
Gender:F
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W LEA ST
Mailing Address - Street 2:
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240-5110
Mailing Address - Country:US
Mailing Address - Phone:575-391-0270
Mailing Address - Fax:
Practice Address - Street 1:200 W LEA ST
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-5110
Practice Address - Country:US
Practice Address - Phone:575-391-0270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-05
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX812310163W00000X
TXF0316306363LF0000X
NMCNP-02944363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse