Provider Demographics
NPI:1831115377
Name:YANCEY, PATRICIA L (APRN, BC)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:L
Last Name:YANCEY
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 S BARRINGTON CT
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-2177
Mailing Address - Country:US
Mailing Address - Phone:302-286-0673
Mailing Address - Fax:302-286-0674
Practice Address - Street 1:1941 LIMESTONE RD
Practice Address - Street 2:SUITE 209
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-5400
Practice Address - Country:US
Practice Address - Phone:302-995-2952
Practice Address - Fax:302-995-6302
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000257363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE008479A48Medicare ID - Type Unspecified