Provider Demographics
NPI:1124386990
Name:LOW, YAEL DIANA (APRN)
Entity Type:Individual
Prefix:MS
First Name:YAEL
Middle Name:DIANA
Last Name:LOW
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:YAEL
Other - Middle Name:DIANA
Other - Last Name:HORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:6610 WILLOW PARK DR STE 102
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-9014
Mailing Address - Country:US
Mailing Address - Phone:239-262-3100
Mailing Address - Fax:239-262-3101
Practice Address - Street 1:6610 WILLOW PARK DR STE 102
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-9014
Practice Address - Country:US
Practice Address - Phone:239-262-3100
Practice Address - Fax:239-262-3101
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF336927-1363LF0000X
FL9330676363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily