Provider Demographics
NPI:1477709673
Name:WEILL, YVONNE LOUGHREY (ARNP)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:LOUGHREY
Last Name:WEILL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8011 N HIMES AVE
Mailing Address - Street 2:102
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2700
Mailing Address - Country:US
Mailing Address - Phone:813-935-1284
Mailing Address - Fax:183-935-3773
Practice Address - Street 1:8011 N HIMES AVE
Practice Address - Street 2:102
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2700
Practice Address - Country:US
Practice Address - Phone:813-935-1284
Practice Address - Fax:183-935-3773
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL859492363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner