Provider Demographics
NPI:1255652681
Name:YALANIS, MOHINI IRELAND (RNP)
Entity Type:Individual
Prefix:
First Name:MOHINI
Middle Name:IRELAND
Last Name:YALANIS
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 THURBER BLVD
Mailing Address - Street 2:UNIT 6
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-1816
Mailing Address - Country:US
Mailing Address - Phone:401-404-2975
Mailing Address - Fax:401-404-2976
Practice Address - Street 1:1526 ATWOOD AVE STE 200
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-3289
Practice Address - Country:US
Practice Address - Phone:401-404-2975
Practice Address - Fax:401-404-2976
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00000363L00000X
RIAPRN01108363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner