Provider Demographics
NPI:1902143399
Name:YEAGER, HOLLY LYN (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:LYN
Last Name:YEAGER
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17540-1936
Mailing Address - Country:US
Mailing Address - Phone:717-203-1678
Mailing Address - Fax:
Practice Address - Street 1:6 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LEOLA
Practice Address - State:PA
Practice Address - Zip Code:17540-1936
Practice Address - Country:US
Practice Address - Phone:717-203-1678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-06
Last Update Date:2013-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9055374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula