Provider Demographics
NPI:1881692218
Name:KRIELOW, YVONNE H (NP)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:H
Last Name:KRIELOW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 E RUSSELL AVE
Mailing Address - Street 2:
Mailing Address - City:WELSH
Mailing Address - State:LA
Mailing Address - Zip Code:70591-4844
Mailing Address - Country:US
Mailing Address - Phone:337-734-4500
Mailing Address - Fax:337-734-4400
Practice Address - Street 1:708 E RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:WELSH
Practice Address - State:LA
Practice Address - Zip Code:70591-4844
Practice Address - Country:US
Practice Address - Phone:337-734-4500
Practice Address - Fax:337-734-4400
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPO3973363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1141046Medicaid
LAP69126Medicare UPIN
LA4C410Medicare PIN