Provider Demographics
NPI:1942902457
Name:KAZMER, YVONNE LYNN (RN)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:LYNN
Last Name:KAZMER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:LYNN
Other - Last Name:TESSIER-KAZMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:13652 CANTARA STREET BUILDING 6
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402
Mailing Address - Country:US
Mailing Address - Phone:818-815-5659
Mailing Address - Fax:818-815-5606
Practice Address - Street 1:13652 CANTARA STREET BUILDING 6
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402
Practice Address - Country:US
Practice Address - Phone:818-815-5659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA319474163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse