Provider Demographics
NPI:1972857571
Name:YASIN, MEDINA SAIDA (RN)
Entity Type:Individual
Prefix:MS
First Name:MEDINA
Middle Name:SAIDA
Last Name:YASIN
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:19034 SW POSITANO WAY
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2882
Mailing Address - Country:US
Mailing Address - Phone:866-670-0237
Mailing Address - Fax:866-670-0237
Practice Address - Street 1:3720 SE JENNINGS RD
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952
Practice Address - Country:US
Practice Address - Phone:866-670-0237
Practice Address - Fax:866-670-0237
Is Sole Proprietor?:No
Enumeration Date:2012-11-04
Last Update Date:2019-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL9220971363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology