Provider Demographics
NPI:1043623432
Name:YATAR, ELMA LYNNE FLORES
Entity Type:Individual
Prefix:
First Name:ELMA LYNNE
Middle Name:FLORES
Last Name:YATAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8045 JILLS CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-2872
Mailing Address - Country:US
Mailing Address - Phone:901-359-8306
Mailing Address - Fax:
Practice Address - Street 1:8045 JILLS CREEK DR
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-2872
Practice Address - Country:US
Practice Address - Phone:901-359-8306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN157745163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse