Provider Demographics
NPI:1205101151
Name:ESTOPINAN, YOLKA VALDES (LPN)
Entity type:Individual
Prefix:
First Name:YOLKA
Middle Name:VALDES
Last Name:ESTOPINAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 E HENRIETTA RD
Mailing Address - Street 2:APT. 5
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-3938
Mailing Address - Country:US
Mailing Address - Phone:585-861-4520
Mailing Address - Fax:
Practice Address - Street 1:2017 E HENRIETTA RD
Practice Address - Street 2:APT. 5
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3938
Practice Address - Country:US
Practice Address - Phone:585-861-4520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-11
Last Update Date:2012-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308729164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse