Provider Demographics
NPI:1912037805
Name:YANKOWSKY, CAROLINA P (CRNA)
Entity Type:Individual
Prefix:
First Name:CAROLINA
Middle Name:P
Last Name:YANKOWSKY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 E. SAVANNAH AVENUE SUITE 15
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1728
Mailing Address - Country:US
Mailing Address - Phone:956-687-2673
Mailing Address - Fax:956-630-1091
Practice Address - Street 1:1200 E SAVANNAH AVE STE 15
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1728
Practice Address - Country:US
Practice Address - Phone:956-687-2673
Practice Address - Fax:956-630-1091
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLANT9215661367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX334235ZM3WOtherMEDICARE
TX8767NROtherBCBS
TX193771609Medicaid
TXP01787702OtherRR MEDICARE