Provider Demographics
NPI:1194077610
Name:YANNI, ARTHUR GEORGE (LPN)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:GEORGE
Last Name:YANNI
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4823 KINGSHILL DR
Mailing Address - Street 2:APT #F
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-7211
Mailing Address - Country:US
Mailing Address - Phone:614-266-2770
Mailing Address - Fax:
Practice Address - Street 1:4823 KINGSHILL DR
Practice Address - Street 2:APT #F
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-7211
Practice Address - Country:US
Practice Address - Phone:614-266-2770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 149537164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse