Provider Demographics
NPI:1275147647
Name:YANKEE, REBECCA DIANE (FNP-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:DIANE
Last Name:YANKEE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:DIANE
Other - Last Name:YEATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:WELLSPAN FAMILY MEDICINE - FAIRFIELD
Mailing Address - Street 2:4910 FAIRFIELD RD
Mailing Address - City:FAIRFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:17320
Mailing Address - Country:US
Mailing Address - Phone:717-339-3175
Mailing Address - Fax:
Practice Address - Street 1:WELLSPAN FAMILY MEDICINE - FAIRFIELD
Practice Address - Street 2:4910 FAIRFIELD RD
Practice Address - City:FAIRFIELD
Practice Address - State:PA
Practice Address - Zip Code:17320
Practice Address - Country:US
Practice Address - Phone:717-339-3175
Practice Address - Fax:717-255-0950
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022385207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine