Provider Demographics
NPI:1225354418
Name:LEDAIN, YOLANDA L (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:L
Last Name:LEDAIN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:L
Other - Last Name:LEDAIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:1 FRANKA PL
Mailing Address - Street 2:APT #5
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-3931
Mailing Address - Country:US
Mailing Address - Phone:845-538-9668
Mailing Address - Fax:
Practice Address - Street 1:1 FRANKA PL
Practice Address - Street 2:APT #5
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-3931
Practice Address - Country:US
Practice Address - Phone:845-538-9668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY297288-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse