Provider Demographics
NPI:1497052302
Name:WHITTLE-BROWN, YVONNE ANGELA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:ANGELA
Last Name:WHITTLE-BROWN
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 1:11022 LAKELAND CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-6900
Mailing Address - Country:US
Mailing Address - Phone:239-209-1277
Mailing Address - Fax:
Practice Address - Street 1:11022 LAKELAND CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-6900
Practice Address - Country:US
Practice Address - Phone:239-209-1277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-13
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3117152363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3117152OtherARNP LICENSE