Provider Demographics
NPI:1528505880
Name:YEAGER, RENEE ELIZABETH (APRN, CNM)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:ELIZABETH
Last Name:YEAGER
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:RENEE
Other - Middle Name:ELIZABETH
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2049 STOWBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-8903
Mailing Address - Country:US
Mailing Address - Phone:501-209-0723
Mailing Address - Fax:
Practice Address - Street 1:3530 SNOUFFER RD STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-2702
Practice Address - Country:US
Practice Address - Phone:614-541-2229
Practice Address - Fax:614-541-2244
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.0019583367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife