Provider Demographics
NPI:1730473422
Name:YUTZY, ALICE MARIE (FNP (DNP))
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:MARIE
Last Name:YUTZY
Suffix:
Gender:F
Credentials:FNP (DNP)
Other - Prefix:MS
Other - First Name:ALICE
Other - Middle Name:MARIE
Other - Last Name:PINYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP (DNP)
Mailing Address - Street 1:801 E. CHURCH STREET
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-6219
Mailing Address - Country:US
Mailing Address - Phone:423-798-8052
Mailing Address - Fax:423-798-8055
Practice Address - Street 1:1404 TUSCULUM BLVD
Practice Address - Street 2:SUITE 2200
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4395
Practice Address - Country:US
Practice Address - Phone:423-798-8052
Practice Address - Fax:423-798-8055
Is Sole Proprietor?:No
Enumeration Date:2011-05-31
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000015706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily