Provider Demographics
NPI:1225786486
Name:YODER, NAOMI (CNM)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:YODER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2131
Mailing Address - Country:US
Mailing Address - Phone:717-490-2090
Mailing Address - Fax:
Practice Address - Street 1:35 HOPE DRIVE STE 202/204
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2088
Practice Address - Country:US
Practice Address - Phone:717-531-3503
Practice Address - Fax:717-531-4375
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010673367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife