Yates, Tana H

Yates, Tana H is an individual health care provider with primary practice located at 2002 Medical Pkwy Suite 120, Annapolis MD 21401-3046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Yates, Tana H can be contacted via phone (443) 481-5300.

Contact Information

Primary practice address
2002 Medical Pkwy Suite 120 Annapolis MD 21401-3046
Fax: (443) 481-6705
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R162103 Maryland

Profile Details

NPI number 1487654976
LBN Legal business name Yates, Tana H
Credentials CRNP-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Oct 18th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487654976 NPPES
Maryland Other P00347745 RR MEDICARE
Maryland Other 0006 RR MEDICARE
Maryland Other 64282101 RR MEDICARE

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