Provider Demographics
NPI:1861470098
Name:YODER, EMMA LOIS (CNM)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:LOIS
Last Name:YODER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5506 S RIVERTON RD
Mailing Address - Street 2:
Mailing Address - City:PARTRIDGE
Mailing Address - State:KS
Mailing Address - Zip Code:67566-9489
Mailing Address - Country:US
Mailing Address - Phone:620-567-2627
Mailing Address - Fax:620-465-2712
Practice Address - Street 1:2913 E. RED ROCK RD
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67501
Practice Address - Country:US
Practice Address - Phone:620-465-2712
Practice Address - Fax:620-465-2712
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS64035367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS161357OtherBLUE CROSS & BLUE SHIELD