Individual provider · Type 1 NPI

Mary Ellen Yealin

Nurse Practitioner · Portage, MI

NPI number 1164534582 Active

Practice location

7901 Angling Rd, Suite B-201
Portage, MI 49024-0714

Mailing address

5943 Stadium Dr, Suite 3
Kalamazoo, MI 49009-3016

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704174695 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1164534582

Mary Ellen Yealin's National Provider Identifier is 1164534582, issued on Aug 31, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portage, MI. The record was last updated on Jul 8, 2007.