Provider Demographics
NPI:1124842562
Name:VILLANI, YVONNE (CMF)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:
Last Name:VILLANI
Suffix:
Gender:F
Credentials:CMF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 FINEBURG RD
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:MD
Mailing Address - Zip Code:21901-2622
Mailing Address - Country:US
Mailing Address - Phone:443-504-2214
Mailing Address - Fax:
Practice Address - Street 1:615 W MACPHAIL RD STE 103
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4305
Practice Address - Country:US
Practice Address - Phone:443-553-6529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD000843236I224900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter