Provider Demographics
NPI:1679324628
Name:EBERHARDT, YOLANDA LEE (RN, MSN, CPHQ, CAPM)
Entity Type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:LEE
Last Name:EBERHARDT
Suffix:
Gender:F
Credentials:RN, MSN, CPHQ, CAPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 KENWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4558
Mailing Address - Country:US
Mailing Address - Phone:803-272-9104
Mailing Address - Fax:
Practice Address - Street 1:35 KENWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4558
Practice Address - Country:US
Practice Address - Phone:803-272-9104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC237742163WH0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health