Yentz, Audra L

Yentz, Audra L is an individual health care provider with primary practice located at 10 Tower Dr , Sun Prairie WI 53590-1239. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Yentz, Audra L can be contacted via phone (608) 825-3008.

Contact Information

Primary practice address
10 Tower Dr Sun Prairie WI 53590-1239
Phone: (608) 825-3008
Fax: (608) 825-3786
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 652-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 652-23 Wisconsin

Profile Details

NPI number 1356392237
LBN Legal business name Yentz, Audra L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Dec 23rd, 2020 - about 4 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 1356392237 NPPES
Wisconsin MEDICAID 1356392237

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