Audrey Y Yagalla
Individual provider Active NPI Early Intervention Provider Agency · West Wyoming, PA
NPI 1982394896 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1982394896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 1565 Shoemaker Ave
West Wyoming, PA 18644-1030 - Phone
- (570) 831-9533
- NPI assigned
- May 12, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
1565 Shoemaker Ave
West Wyoming, PA 18644-1030
Mailing address
1565 Shoemaker Ave
West Wyoming, PA 18644-1030
Phone (570) 831-9533
Other providers in West Wyoming, PA
- John Mrugal
- Julie L Murphy
- Leah Lynn Peters
- Katie Elizabeth Tibus
- West Wyoming Volunteer Hose Company #1
All providers in West Wyoming, PA · Early Intervention Provider Agency in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. 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.