Provider Demographics
NPI:1396439337
Name:RAMIREZ IBARGOLLIN, YENIMA VIN (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:YENIMA
Middle Name:VIN
Last Name:RAMIREZ IBARGOLLIN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4423 PARK BLVD N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33781-3540
Mailing Address - Country:US
Mailing Address - Phone:727-827-2825
Mailing Address - Fax:727-827-2809
Practice Address - Street 1:4423 PARK BLVD N
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3540
Practice Address - Country:US
Practice Address - Phone:727-827-2825
Practice Address - Fax:727-827-2809
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11025859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily