MEDICARE: YOLANDA COHEN

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
1	164W00000X	Licensed Practical Nurse	4703130263	MI

General Provider Information

NPI Number	:	1861347924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA COHEN

Provider Business Mailing Address
First Line	:	6006 FOUNTAIN POINTE
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-7713
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6006 FOUNTAIN POINTE
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-7713
Country	:	US
Telephone Number	:	810-247-0857
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2026
Last Update Date	:	03/03/2026

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Directions to “ YOLANDA COHEN ” Practice Location

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