Provider Demographics
NPI:1104917673
Name:SCANNELL, YVONNE DOLORES (NP)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:DOLORES
Last Name:SCANNELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10275 GULF BLVD APT 407
Mailing Address - Street 2:
Mailing Address - City:TREASURE ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33706-4852
Mailing Address - Country:US
Mailing Address - Phone:727-367-7877
Mailing Address - Fax:
Practice Address - Street 1:7111 1ST AVE S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1223
Practice Address - Country:US
Practice Address - Phone:727-345-1313
Practice Address - Fax:727-345-0166
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9369497363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily