Provider Demographics
NPI:1417130568
Name:ARRIOLA, YVETTE ORTIZ (LVN)
Entity Type:Individual
Prefix:MS
First Name:YVETTE
Middle Name:ORTIZ
Last Name:ARRIOLA
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 DELMAR ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-2325
Mailing Address - Country:US
Mailing Address - Phone:210-534-2810
Mailing Address - Fax:
Practice Address - Street 1:539 DELMAR ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-2325
Practice Address - Country:US
Practice Address - Phone:210-534-2810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111429164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse