Basic Information
Provider Information
NPI: 1497750947
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YARNOLD
FirstName: BETH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 615 W MACPHAIL RD
Address2: STE 106
City: BEL AIR
State: MD
PostalCode: 210144393
CountryCode: US
TelephoneNumber: 4106388900
FaxNumber: 4106388915
Practice Location
Address1: 615 W MACPHAIL RD
Address2: STE 106
City: BEL AIR
State: MD
PostalCode: 210144393
CountryCode: US
TelephoneNumber: 4106388900
FaxNumber: 4106388915
Other Information
ProviderEnumerationDate: 06/20/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WG0600XR077638MDY Nursing Service ProvidersRegistered NurseGerontology

No ID Information.


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