Provider Demographics
NPI:1467044248
Name:YAHWEH, YAHWEH B (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:YAHWEH
Middle Name:B
Last Name:YAHWEH
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5312 MACCORKLE AVE SW STE 284
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1012
Mailing Address - Country:US
Mailing Address - Phone:919-638-3694
Mailing Address - Fax:
Practice Address - Street 1:6 GREENBRIER TRL
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:WV
Practice Address - Zip Code:25541-1190
Practice Address - Country:US
Practice Address - Phone:919-638-3694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV62717163WC1500X, 163WD0400X, 163WG0000X, 163WH0200X, 163WI0500X, 163WI0600X, 163WP0000X, 163WX0106X, 171M00000X, 172V00000X, 163WC0400X
174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WI0600XNursing Service ProvidersRegistered NurseInfection Control
No163WP0000XNursing Service ProvidersRegistered NursePain Management
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator