Provider Demographics
NPI:1437563236
Name:WHITE, YOLANDRA ROCHELLE
Entity Type:Individual
Prefix:
First Name:YOLANDRA
Middle Name:ROCHELLE
Last Name:WHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10325 POTTINGER RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-1117
Mailing Address - Country:US
Mailing Address - Phone:513-886-8896
Mailing Address - Fax:
Practice Address - Street 1:10325 POTTINGER RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1117
Practice Address - Country:US
Practice Address - Phone:513-886-8896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH379012510600376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide