Provider Demographics
NPI:1396931846
Name:YOST, SANDRA LYNN (CRNFA)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:LYNN
Last Name:YOST
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:LYNN
Other - Last Name:KRAFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNFA
Mailing Address - Street 1:PO BOX 637801
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-7801
Mailing Address - Country:US
Mailing Address - Phone:941-745-7202
Mailing Address - Fax:941-745-7233
Practice Address - Street 1:206 2ND ST E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1042
Practice Address - Country:US
Practice Address - Phone:941-745-7202
Practice Address - Fax:941-745-7233
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9262135163WR0006X
FLARNP9262135363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3122778 00Medicaid