Provider Demographics
NPI:1114229978
Name:CHANEY, YOLANDA EVETTE (RN)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:EVETTE
Last Name:CHANEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3628 ROLLISTON RD
Mailing Address - Street 2:APT UPPER
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-5137
Mailing Address - Country:US
Mailing Address - Phone:216-214-4741
Mailing Address - Fax:
Practice Address - Street 1:3628 ROLLISTON RD
Practice Address - Street 2:APT UPPER
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44120-5137
Practice Address - Country:US
Practice Address - Phone:216-214-4741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH358249163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse