Provider Demographics
NPI:1396807095
Name:CAWLEY, YVONNE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:
Last Name:CAWLEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 NE 51 COURT
Mailing Address - Street 2:
Mailing Address - City:FT. LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334-2432
Mailing Address - Country:US
Mailing Address - Phone:954-771-6250
Mailing Address - Fax:954-489-3060
Practice Address - Street 1:400 NE 51ST CT
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33334-2432
Practice Address - Country:US
Practice Address - Phone:954-771-6250
Practice Address - Fax:954-489-3060
Is Sole Proprietor?:No
Enumeration Date:2006-12-16
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1942092163WR0006X
FLARNP 1942092363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL311625500Medicaid