Provider Demographics
NPI:1710159512
Name:VAN HOOK, YVETTE Y (WHNP)
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:Y
Last Name:VAN HOOK
Suffix:
Gender:F
Credentials:WHNP
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Other - Credentials:
Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:MSC 8064-37-1005
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-747-5470
Mailing Address - Fax:314-362-3335
Practice Address - Street 1:4901 FOREST PARK AVE
Practice Address - Street 2:DIV OBGYN MIS GYN, STE 710
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1495
Practice Address - Country:US
Practice Address - Phone:314-747-5470
Practice Address - Fax:314-362-3335
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO116785363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO428431407Medicaid
ILENROLLEDMedicaid