Provider Demographics
NPI:1811876493
Name:YODER, SANDRA E (APRN)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:E
Last Name:YODER
Suffix:
Gender:F
Credentials:APRN
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 206
Mailing Address - Street 2:
Mailing Address - City:MOUNT EATON
Mailing Address - State:OH
Mailing Address - Zip Code:44659-0206
Mailing Address - Country:US
Mailing Address - Phone:330-359-5489
Mailing Address - Fax:330-359-8001
Practice Address - Street 1:PO BOX 206
Practice Address - Street 2:
Practice Address - City:MOUNT EATON
Practice Address - State:OH
Practice Address - Zip Code:44659-0206
Practice Address - Country:US
Practice Address - Phone:330-359-5489
Practice Address - Fax:330-359-8001
Is Sole Proprietor?:No
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF08250943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine