Provider Demographics
NPI:1770319634
Name:YANICH, ADRIENNE JOAN (FNP-C)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:JOAN
Last Name:YANICH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1965 WOODLAND HALL DR
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-7212
Mailing Address - Country:US
Mailing Address - Phone:419-310-2430
Mailing Address - Fax:
Practice Address - Street 1:92 N HIGH ST STE 600
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-1194
Practice Address - Country:US
Practice Address - Phone:614-442-7610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-09
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0037485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily