MS. ROBYN CARROLL YETKA PA-C NPI 1407015308

NPI Information

NPI: 1407015308
Provider Name: MS. ROBYN CARROLL YETKA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
714 W FOX FARM RD
CHEYENNE, WY
ZIP 82007
Phone: (130) 777-8783
Get Directions

MS. Robyn Carroll Yetka, PA-C is a medical physician assistant in Cheyenne, WY. MS. Robyn Carroll Yetka, PA-C NPI is 1407015308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

714 W FOX FARM RD
CHEYENNE, WY
ZIP 82007-360
Phone: (130) 777-8783
Fax: (130) 777-8257

The enumeration date for this NPI number is 6/5/2008 and was last updated on 6/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	118	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54RCY07M	OTHER	WYOMING	WYOMING CONTROLLED SUBSTANCE
2	MY1241809	OTHER		DEA
3	118	OTHER	WYOMING	WYOMING BOARD OF MEDICINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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