Provider Demographics
NPI:1780309252
Name:DANCEL, YVETTE JOHNINE (FNP)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:JOHNINE
Last Name:DANCEL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3742 HANCE BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08361-6857
Mailing Address - Country:US
Mailing Address - Phone:856-332-9403
Mailing Address - Fax:
Practice Address - Street 1:3742 HANCE BRIDGE RD
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08361-6857
Practice Address - Country:US
Practice Address - Phone:856-332-9403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJF09220042363LF0000X
NJ26NR11222900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJF09220042OtherHORIZON BLUE CROSS/BLUE SHIELD
NJF09220042OtherAETNA
NJF09220042Medicaid
NJF09220042OtherPRIVATE INSURANCE