Provider Demographics
NPI:1801122288
Name:COUAMIN, YVELANDE (FNP)
Entity type:Individual
Prefix:
First Name:YVELANDE
Middle Name:
Last Name:COUAMIN
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 1:506 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3609
Mailing Address - Country:US
Mailing Address - Phone:718-780-5388
Mailing Address - Fax:718-780-7707
Practice Address - Street 1:3412 36TH ST
Practice Address - Street 2:SUITE 220
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-1200
Practice Address - Country:US
Practice Address - Phone:718-391-0611
Practice Address - Fax:347-761-3196
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335838363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily