Provider Demographics
NPI:1770311417
Name:YEARWOOD, ISABEL
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:
Last Name:YEARWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HANSON PL
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-3110
Mailing Address - Country:US
Mailing Address - Phone:860-637-5631
Mailing Address - Fax:
Practice Address - Street 1:11 HANSON PL
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-3110
Practice Address - Country:US
Practice Address - Phone:860-637-5631
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-24
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care