Provider Demographics
NPI:1316204837
Name:NUMBIA, YVONNE (RN)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:
Last Name:NUMBIA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 PREAKNESS DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-2712
Mailing Address - Country:US
Mailing Address - Phone:678-694-1335
Mailing Address - Fax:
Practice Address - Street 1:1411 PREAKNESS DR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-2712
Practice Address - Country:US
Practice Address - Phone:678-694-1335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA163W00000X163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse