Provider Demographics
NPI:1689736514
Name:YOST, LINDA ANN (MD)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:ANN
Last Name:YOST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:ANN
Other - Last Name:ENGBRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3034 NOB HILL DR
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-5302
Mailing Address - Country:US
Mailing Address - Phone:307-237-3761
Mailing Address - Fax:
Practice Address - Street 1:3034 NOB HILL DR
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-5302
Practice Address - Country:US
Practice Address - Phone:307-237-3761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY3500A207ZP0102X
ORMD12362207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E23055Medicare UPIN