Provider Demographics
NPI:1619288107
Name:PIERRE-LOUIS, YANICK
Entity Type:Individual
Prefix:
First Name:YANICK
Middle Name:
Last Name:PIERRE-LOUIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12125 BROOKSTON DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-1309
Mailing Address - Country:US
Mailing Address - Phone:513-546-9611
Mailing Address - Fax:
Practice Address - Street 1:12125 BROOKSTON DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-1309
Practice Address - Country:US
Practice Address - Phone:513-546-9611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN128872374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide