Provider Demographics
NPI:1629369616
Name:GIORDANO, YVONNE JEANNE (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MISS
First Name:YVONNE
Middle Name:JEANNE
Last Name:GIORDANO
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:MISS
Other - First Name:YVONNE
Other - Middle Name:JEANNE
Other - Last Name:GIORDANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHYSICIAN ASSISTANT
Mailing Address - Street 1:700 2ND AVE N
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5756
Mailing Address - Country:US
Mailing Address - Phone:239-263-0849
Mailing Address - Fax:239-263-2376
Practice Address - Street 1:700 2ND AVE N
Practice Address - Street 2:SUITE 202
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5756
Practice Address - Country:US
Practice Address - Phone:239-263-0849
Practice Address - Fax:239-263-2376
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPA 9105929363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant