Provider Demographics
NPI:1750175485
Name:YODER, FAYE LORAINE NUNEZA
Entity type:Individual
Prefix:
First Name:FAYE LORAINE
Middle Name:NUNEZA
Last Name:YODER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 LANSDALE CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-2189
Mailing Address - Country:US
Mailing Address - Phone:937-759-7630
Mailing Address - Fax:
Practice Address - Street 1:1140 LANSDALE CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-2189
Practice Address - Country:US
Practice Address - Phone:937-759-7630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic