Provider Demographics
NPI:1952644080
Name:LOWER, YVONKA L (CNA)
Entity Type:Individual
Prefix:MS
First Name:YVONKA
Middle Name:L
Last Name:LOWER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2714E700S
Mailing Address - Street 2:
Mailing Address - City:COLUMBIACITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725
Mailing Address - Country:US
Mailing Address - Phone:260-396-2190
Mailing Address - Fax:
Practice Address - Street 1:2714E700S
Practice Address - Street 2:
Practice Address - City:COLUMBIACITY
Practice Address - State:IN
Practice Address - Zip Code:46725
Practice Address - Country:US
Practice Address - Phone:260-396-2190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INCNA1204526385HR2065X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child