Provider Demographics
NPI:1316951189
Name:YANKEE, GAYLE L (NP)
Entity type:Individual
Prefix:
First Name:GAYLE
Middle Name:L
Last Name:YANKEE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:GAYLE
Other - Middle Name:L
Other - Last Name:WOLFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:6200 PINE HOLLOW DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-9700
Mailing Address - Country:US
Mailing Address - Phone:517-339-1676
Mailing Address - Fax:517-339-2716
Practice Address - Street 1:1200 E MICHIGAN AVE
Practice Address - Street 2:STE 530
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1800
Practice Address - Country:US
Practice Address - Phone:517-364-5880
Practice Address - Fax:517-364-5887
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704187437363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N41160Medicare ID - Type Unspecified