Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Tammy Lou Yazevac, PA

Individual provider Physician Assistant · NPI 1750674149

Miss. Tammy Lou Yazevac, PA is a Physician Assistant in Bridgeport, West Virginia. Licensed in West Virginia. Registered with an NPI since 2011.

Licensed in
WV
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1370 Johnson Ave
Bridgeport, WV 26330-1492
Phone: (304) 842-7186
Fax: (304) 842-2533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 273 (WV)

Record details

NPI number1750674149
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 18, 2011
Last updated in NPPESJuly 10, 2015

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