Provider Demographics
NPI:1467494724
Name:BUFFINGTON, YVONNE DENISE (LPN)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:DENISE
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 SE 28TH LN
Mailing Address - Street 2:APT. B
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-9208
Mailing Address - Country:US
Mailing Address - Phone:352-694-4790
Mailing Address - Fax:
Practice Address - Street 1:1801 SE 32ND AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5532
Practice Address - Country:US
Practice Address - Phone:352-629-0137
Practice Address - Fax:352-694-4824
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL669351164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse