Provider Demographics
NPI:1558522797
Name:YELLOW, ROBBI ALLYN (NP)
Entity Type:Individual
Prefix:
First Name:ROBBI
Middle Name:ALLYN
Last Name:YELLOW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ROBBI
Other - Middle Name:ALLYN
Other - Last Name:YELLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX J
Mailing Address - Street 2:
Mailing Address - City:FORT YATES
Mailing Address - State:ND
Mailing Address - Zip Code:58538-0527
Mailing Address - Country:US
Mailing Address - Phone:701-854-3831
Mailing Address - Fax:701-854-3685
Practice Address - Street 1:N10 NORTH RIVER ROAD
Practice Address - Street 2:
Practice Address - City:FORT YATES
Practice Address - State:ND
Practice Address - Zip Code:58538-0527
Practice Address - Country:US
Practice Address - Phone:701-854-3831
Practice Address - Fax:701-854-3685
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR32924363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily