Provider Demographics
NPI:1770337792
Name:YODER, LAUREN FAYE (RN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:FAYE
Last Name:YODER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:FAYE
Other - Last Name:DOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:4885 OLENTANGY RIVER RD STE 1-10
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1953
Mailing Address - Country:US
Mailing Address - Phone:614-891-4705
Mailing Address - Fax:614-568-8050
Practice Address - Street 1:4885 OLENTANGY RIVER RD STE 1-10
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1953
Practice Address - Country:US
Practice Address - Phone:614-891-4705
Practice Address - Fax:614-568-8050
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0036531363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily