Provider Demographics
NPI:1811140775
Name:TAYLOR, YOLANDA KERRIE-ANN (LPN)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:KERRIE-ANN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 SEYMOUR AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-2915
Mailing Address - Country:US
Mailing Address - Phone:191-749-7956
Mailing Address - Fax:
Practice Address - Street 1:3351 SEYMOUR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-2915
Practice Address - Country:US
Practice Address - Phone:191-749-7956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267212-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse