Provider Demographics
NPI:1437664851
Name:ARMSTRONG, YOLANDA RENEE (STNA)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:RENEE
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2520 LOWELL AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-3044
Mailing Address - Country:US
Mailing Address - Phone:702-882-3673
Mailing Address - Fax:
Practice Address - Street 1:2520 LOWELL AVE APT 2
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-3044
Practice Address - Country:US
Practice Address - Phone:702-882-3673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-07
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH402017031117376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty