Provider Demographics
NPI:1033574389
Name:REY-BERNAL, YOLANDA (RN)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:REY-BERNAL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:YOLANDA
Other - Middle Name:
Other - Last Name:SANTOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:0153283172
Mailing Address - Street 1:8622 TRADEWIND CIR APT 302
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-2919
Mailing Address - Country:US
Mailing Address - Phone:423-243-8703
Mailing Address - Fax:
Practice Address - Street 1:8622 TRADEWIND CIR APT 302
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-2919
Practice Address - Country:US
Practice Address - Phone:423-243-8703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN192287163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse