NPI 1043982564
Avery Renuall Yates, IDHS
Practice location
- Address
- 47 Chandler St Quay Wall, Newport, RI 02842
- Phone
- (270) 727-0103
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1043982564
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Oct 2021
- Record last updated
- 3 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.