Provider Demographics
NPI:1336183557
Name:YAUCH, PATRICIA M (ARNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:YAUCH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HEMLOCK RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-5343
Mailing Address - Country:US
Mailing Address - Phone:207-363-8778
Mailing Address - Fax:603-431-6227
Practice Address - Street 1:HARBOUR WOMEN'S HEALTH
Practice Address - Street 2:155 GRIFFIN ROAD
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4125
Practice Address - Country:US
Practice Address - Phone:603-431-6011
Practice Address - Fax:603-431-6227
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH048387-23-04363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30341130Medicaid
NH30341130Medicaid
30540YMedicare UPIN