Provider Demographics
NPI:1326721366
Name:GUILLEN LEON, YINETT (APRN)
Entity Type:Individual
Prefix:MS
First Name:YINETT
Middle Name:
Last Name:GUILLEN LEON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 SW 142ND AVE APT J205
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4066
Mailing Address - Country:US
Mailing Address - Phone:305-851-1016
Mailing Address - Fax:
Practice Address - Street 1:8311 SW 142ND AVE APT J205
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4066
Practice Address - Country:US
Practice Address - Phone:305-851-1016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023106363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily