Provider Demographics
NPI:1922515436
Name:GARCIA-TAYLOR, YINES (RN, BSN, IBCLC)
Entity Type:Individual
Prefix:
First Name:YINES
Middle Name:
Last Name:GARCIA-TAYLOR
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 COMMUNIPAW AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-4009
Mailing Address - Country:US
Mailing Address - Phone:201-780-7960
Mailing Address - Fax:
Practice Address - Street 1:338 COMMUNIPAW AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-4009
Practice Address - Country:US
Practice Address - Phone:201-780-7960
Practice Address - Fax:201-780-7960
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-05
Last Update Date:2018-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR16651600163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant