Healthcare Provider Details

I. General information

NPI: 1548576598
Provider Name (Legal Business Name): YOLANDA COLON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YOLANDA BELTRAN PEREZ RN

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA FL
33607-6307
US

IV. Provider business mailing address

2701 RANCH RD
DOVER FL
33527-6435
US

V. Phone/Fax

Practice location:
  • Phone: 813-872-2929
  • Fax: 813-872-2931
Mailing address:
  • Phone: 813-655-3104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberARNP3153782
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: