Provider Demographics
NPI:1710740907
Name:MERRIWEATHER, YOLANDA E (LPN)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:E
Last Name:MERRIWEATHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 NIGHTINGALE DR APT 1
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-9333
Mailing Address - Country:US
Mailing Address - Phone:702-423-7497
Mailing Address - Fax:
Practice Address - Street 1:7410 NIGHTINGALE DR APT 1
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-9333
Practice Address - Country:US
Practice Address - Phone:702-423-7497
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH132380164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse