Provider Demographics
NPI:1730407552
Name:YODER, MATTHEW MICHAEL (FNP)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:MICHAEL
Last Name:YODER
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 229
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:VA
Mailing Address - Zip Code:24482-0229
Mailing Address - Country:US
Mailing Address - Phone:540-324-9048
Mailing Address - Fax:
Practice Address - Street 1:2225 N AUGUSTA ST STE B
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-2520
Practice Address - Country:US
Practice Address - Phone:403-249-0485
Practice Address - Fax:833-464-4861
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168892363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily