Provider Demographics
NPI:1649751132
Name:PITRE, YOLANDA (RN)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:PITRE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-3961
Mailing Address - Country:US
Mailing Address - Phone:972-750-0074
Mailing Address - Fax:
Practice Address - Street 1:1138 OXFORD DR
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-3961
Practice Address - Country:US
Practice Address - Phone:972-750-0074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX984279163WC1500X, 163WH0200X, 163WM0705X, 163WC0400X, 163W00000X
TX336496164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No164X00000XNursing Service ProvidersLicensed Vocational Nurse