Provider Demographics
NPI:1700359734
Name:PALMERO, YOLANDA M (RNP)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:M
Last Name:PALMERO
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4913 CYPRESS HAMMOCK DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8920
Mailing Address - Country:US
Mailing Address - Phone:786-210-0987
Mailing Address - Fax:
Practice Address - Street 1:3004 7TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-2022
Practice Address - Country:US
Practice Address - Phone:407-593-2910
Practice Address - Fax:407-593-2913
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-02
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11000917363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily