Provider Demographics
NPI:1063832145
Name:DOWNIE, YVONNE
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:DOWNIE
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:YVONNE
Other - Middle Name:TOOLE
Other - Last Name:DOWNIE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ADN
Mailing Address - Street 1:3 CHARLESTON CENTER DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29401-1162
Mailing Address - Country:US
Mailing Address - Phone:843-579-4572
Mailing Address - Fax:843-579-4625
Practice Address - Street 1:3 CHARLESTON CENTER DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-1162
Practice Address - Country:US
Practice Address - Phone:843-579-4572
Practice Address - Fax:843-579-4625
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC15282163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse