Provider Demographics
NPI:1518086388
Name:FERMIL MITCHELL, YVONNE DECASTRO (FNP)
Entity Type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:DECASTRO
Last Name:FERMIL MITCHELL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:YVONNE
Other - Middle Name:DECASTRO
Other - Last Name:FERMIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:318 W EL NORTE PKWY
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92026-1925
Mailing Address - Country:US
Mailing Address - Phone:760-489-1508
Mailing Address - Fax:
Practice Address - Street 1:318 W EL NORTE PKWY
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92026-1925
Practice Address - Country:US
Practice Address - Phone:760-489-1508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN525830163W00000X
CA11786207Q00000X
CAFNP11786363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine