Provider Demographics
NPI:1306826227
Name:ORNELAS-RIOS, YVONNE (RN, MS, FNP)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:
Last Name:ORNELAS-RIOS
Suffix:
Gender:F
Credentials:RN, MS, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7939 FLOYD ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-3724
Mailing Address - Country:US
Mailing Address - Phone:913-951-3590
Mailing Address - Fax:713-344-9420
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-588-5730
Practice Address - Fax:913-945-7350
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO071886363L00000X
KS44897363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO424830206Medicaid
D19A246Medicare ID - Type Unspecified