Provider Demographics
NPI:1457914228
Name:YARNELL, SCOT LEE (APRN)
Entity type:Individual
Prefix:
First Name:SCOT
Middle Name:LEE
Last Name:YARNELL
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:KS
Mailing Address - Zip Code:66717-2140
Mailing Address - Country:US
Mailing Address - Phone:620-212-3832
Mailing Address - Fax:620-679-1850
Practice Address - Street 1:310 S PACIFIC ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:KS
Practice Address - Zip Code:66717-2140
Practice Address - Country:US
Practice Address - Phone:620-212-3832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-17
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS78532363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily