Individual provider · Type 1 NPI

Tammy Lou Yazevac, PA

Physician Assistant · Bridgeport, WV

NPI number 1750674149 Active

Practice location

1370 Johnson Ave
Bridgeport, WV 26330-1492

Fax (304) 842-2533

Mailing address

900 Fairmont Rd
Morgantown, WV 26501-3847

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X273 (WV)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1750674149

Tammy Lou Yazevac, PA's National Provider Identifier is 1750674149, issued on May 18, 2011. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bridgeport, WV. The record was last updated on Jul 10, 2015.