Provider Demographics
NPI:1124614326
Name:YAVOREK, SAMANTHA JOSEPHINE (PA)
Entity type:Individual
Prefix:MISS
First Name:SAMANTHA
Middle Name:JOSEPHINE
Last Name:YAVOREK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:888-339-6065
Mailing Address - Fax:828-538-4441
Practice Address - Street 1:1998 HENDERSONVILLE RD STE 53
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2192
Practice Address - Country:US
Practice Address - Phone:828-585-5489
Practice Address - Fax:855-308-2340
Is Sole Proprietor?:No
Enumeration Date:2020-12-12
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-15643363A00000X
NY027322363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant