Provider Demographics
NPI:1427694355
Name:OLEY, YARDLEY MARIE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:YARDLEY
Middle Name:MARIE
Last Name:OLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 W BROAD ST STE 170
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5738
Mailing Address - Country:US
Mailing Address - Phone:484-526-1260
Mailing Address - Fax:
Practice Address - Street 1:74 W BROAD ST STE 170
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5738
Practice Address - Country:US
Practice Address - Phone:484-526-1260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-26
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA061303363A00000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery