Provider Demographics
NPI:1225703820
Name:SHINHOSTER, YOLANDA MASHUN
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:MASHUN
Last Name:SHINHOSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 CASTLETON DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-7677
Mailing Address - Country:US
Mailing Address - Phone:786-479-4212
Mailing Address - Fax:
Practice Address - Street 1:1803 CASTLETON DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-7677
Practice Address - Country:US
Practice Address - Phone:786-479-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult Companion