Provider Demographics
NPI:1205197571
Name:ALMONTE, YINETTE
Entity type:Individual
Prefix:
First Name:YINETTE
Middle Name:
Last Name:ALMONTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14401 SANDY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3146
Mailing Address - Country:US
Mailing Address - Phone:914-434-5090
Mailing Address - Fax:
Practice Address - Street 1:14401 SANDY RIDGE LN
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3146
Practice Address - Country:US
Practice Address - Phone:914-434-5090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR238005163W00000X, 363L00000X
DCRN200004115163W00000X
NY655245163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse