Provider Demographics
NPI:1952625055
Name:NOEL-PRICE, YANICK (ARNP)
Entity Type:Individual
Prefix:
First Name:YANICK
Middle Name:
Last Name:NOEL-PRICE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3502 SW VOLLMER ST
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-5243
Mailing Address - Country:US
Mailing Address - Phone:772-708-6630
Mailing Address - Fax:772-249-5799
Practice Address - Street 1:3502 SW VOLLMER ST
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34953-5243
Practice Address - Country:US
Practice Address - Phone:772-708-6630
Practice Address - Fax:772-249-5799
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9215964363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily