Provider Demographics
NPI:1265023550
Name:ARNCE, YVONNE RENE (LPN)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:RENE
Last Name:ARNCE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:YVONNE
Other - Middle Name:RENE
Other - Last Name:KNEMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:930 TROSPER RD SW SPC 30
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-6997
Mailing Address - Country:US
Mailing Address - Phone:360-515-8817
Mailing Address - Fax:
Practice Address - Street 1:3285 FERGUSON ST. S.W.
Practice Address - Street 2:
Practice Address - City:TUMWATER
Practice Address - State:WA
Practice Address - Zip Code:98512
Practice Address - Country:US
Practice Address - Phone:360-943-1907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00047361164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse