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NPI Code Detail

MEDICARE: YOLDIE VINCENT APRN

MEDICARE: YOLDIE VINCENT APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11020350FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518698448
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLDIE VINCENT APRN
Provider Business Mailing Address
First Line : 6658 MANDARIN BLVD
Second Line :
City : LOXAHATCHEE
State : FL
Zip : 33470-3241
Country : US
Telephone Number : 561-315-1466
Fax Number :
Provider Business Practice Location Address
First Line : 5799 LAKE WORTH RD
Second Line :
City : GREENACRES
State : FL
Zip : 33463-3207
Country : US
Telephone Number : 561-967-0234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2022
Last Update Date : 08/28/2024

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Directions to “ YOLDIE VINCENT APRN” Practice Location

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