Provider Demographics
NPI:1497926174
Name:YOHE, LAURA B (CRNP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:B
Last Name:YOHE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 SHENANGO ST
Mailing Address - Street 2:SUITE 12
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-2060
Mailing Address - Country:US
Mailing Address - Phone:724-589-0290
Mailing Address - Fax:724-589-0293
Practice Address - Street 1:90 SHENANGO ST
Practice Address - Street 2:SUITE 12
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-2060
Practice Address - Country:US
Practice Address - Phone:724-589-0290
Practice Address - Fax:724-589-0293
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009705207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA191386OtherMEDICARE PART B
PA0007230030001Medicaid
PA393800Medicare Oscar/Certification