Provider Demographics
NPI:1982018230
Name:VUYOVICH, YELENA SERGEEVNA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:YELENA
Middle Name:SERGEEVNA
Last Name:VUYOVICH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 MARKET PLACE RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-8986
Mailing Address - Country:US
Mailing Address - Phone:850-484-4080
Mailing Address - Fax:850-484-8801
Practice Address - Street 1:4901 MARKET PLACE RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8986
Practice Address - Country:US
Practice Address - Phone:850-484-4080
Practice Address - Fax:850-484-8801
Is Sole Proprietor?:No
Enumeration Date:2014-06-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9308402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily