Most Relevant Information
Provider Data
| NPI Number: | 1003218116 |
| Provider Name: | FAYE YETTON NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | 209006898 |
Most Important Dates
| Enumeration Date: | 09/19/2014 |
| Last Updated: | 08/23/2017 |
Provider Practice Location
2015 W AUSTIN DR
PEORIA
IL
616143910
Practice Location Phone/Fax
| Phone: | 3092560632 |
| Fax: |
Provider Mailing Location
2015 W AUSTIN DR
PEORIA
IL
61614
Provider Mailing Phone/Fax
| Phone: | 3092560632 |
| Fax: |