Provider Demographics
NPI:1750744108
Name:HOLLETT, YVETTE RAE (MD)
Entity type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:RAE
Last Name:HOLLETT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YVETTE
Other - Middle Name:RAE
Other - Last Name:HOLLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:374 S 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-3014
Mailing Address - Country:US
Mailing Address - Phone:757-315-7227
Mailing Address - Fax:
Practice Address - Street 1:1017 S 2ND AVE STE 4
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-4183
Practice Address - Country:US
Practice Address - Phone:509-897-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-03
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WA61128145207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program