Provider Demographics
NPI:1437572518
Name:YODER, ELIZABETH DIANE
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:DIANE
Last Name:YODER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5351 THORNAPPLE LN
Mailing Address - Street 2:APT 203
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-3476
Mailing Address - Country:US
Mailing Address - Phone:574-386-5520
Mailing Address - Fax:
Practice Address - Street 1:5351 THORNAPPLE LN
Practice Address - Street 2:APT 203
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-3476
Practice Address - Country:US
Practice Address - Phone:574-386-5520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula