Provider Demographics
NPI:1336616234
Name:KONE, YORDANOS HAILU (FNP-C)
Entity Type:Individual
Prefix:
First Name:YORDANOS
Middle Name:HAILU
Last Name:KONE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15006 GRANITE SHOALS CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1894
Mailing Address - Country:US
Mailing Address - Phone:713-384-9238
Mailing Address - Fax:
Practice Address - Street 1:130 VINTAGE PARK BLVD STE H
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3999
Practice Address - Country:US
Practice Address - Phone:832-899-5621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP137297363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily