Nicole Evelyn Yoak
Individual provider Active NPI Licensed Practical Nurse · Horner, WV
NPI 1376341867 · NPPES record last updated Mar 3, 2025
Key facts
- NPI
- 1376341867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 41052 (WV)
- Practice address
- 2828 Old Route 33
Horner, WV 26372-9705 - Phone
- (304) 269-4556
- NPI assigned
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41052 | WV | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 41052 | WV | Yes |
Addresses
Primary practice location
2828 Old Route 33
Horner, WV 26372-9705
Mailing address
753 Big Springs Rd
Smithville, WV 26178-6502
Phone (304) 299-4505
Other providers in Horner, WV
- Isabelle Roddy
- Shelley Lynn Salser
- Stonerise Home Health Services 2 LLC
- Paul Joseph Wilson
- Roxanna Wilson
All providers in Horner, WV · Licensed Practical Nurse in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.