Provider Demographics
NPI:1073805255
Name:JOHNSON TOWERS, YVETTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:YVETTE
Middle Name:
Last Name:JOHNSON TOWERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, RN, NCSN
Mailing Address - Street 1:3219 N 51ST BLVD
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-3235
Mailing Address - Country:US
Mailing Address - Phone:414-771-0543
Mailing Address - Fax:
Practice Address - Street 1:3219 N 51ST BLVD
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-3235
Practice Address - Country:US
Practice Address - Phone:414-771-0543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-06
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101528-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse