Provider Demographics
NPI:1164106084
Name:YODER, EMILY ARNDT (FNP-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ARNDT
Last Name:YODER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ARNDT
Other - Last Name:YODER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:4948 NORRIS LOOP APT B
Mailing Address - Street 2:
Mailing Address - City:FORT POLK
Mailing Address - State:LA
Mailing Address - Zip Code:71459-4284
Mailing Address - Country:US
Mailing Address - Phone:704-813-8076
Mailing Address - Fax:
Practice Address - Street 1:3425 NORTH BLVD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3676
Practice Address - Country:US
Practice Address - Phone:704-813-8076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-12
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA230129363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner