Provider Demographics
NPI:1346544566
Name:CHANOINE, YOLANDA REGINA
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:REGINA
Last Name:CHANOINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:REGINA
Other - Last Name:WATSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2798 BENJAMIN DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-4373
Mailing Address - Country:US
Mailing Address - Phone:954-551-2536
Mailing Address - Fax:
Practice Address - Street 1:2798 BENJAMIN DR.
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-4373
Practice Address - Country:US
Practice Address - Phone:954-551-2536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN314610163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse