Provider Demographics
NPI:1790555282
Name:MARTINDALE, YANEK ALETIA
Entity Type:Individual
Prefix:MISS
First Name:YANEK
Middle Name:ALETIA
Last Name:MARTINDALE
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 1:10771 DITCHBURN CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-8107
Mailing Address - Country:US
Mailing Address - Phone:702-557-4983
Mailing Address - Fax:
Practice Address - Street 1:10771 DITCHBURN CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89166-8107
Practice Address - Country:US
Practice Address - Phone:702-557-4983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV847762163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse