Provider Demographics
NPI:1194587642
Name:ENOS, YVONNE MARIE (MSN, APRN - CNP)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:MARIE
Last Name:ENOS
Suffix:
Gender:F
Credentials:MSN, APRN - CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9040 RICHARDS DR
Mailing Address - Street 2:
Mailing Address - City:MENTOR
Mailing Address - State:OH
Mailing Address - Zip Code:44060-1630
Mailing Address - Country:US
Mailing Address - Phone:216-337-0932
Mailing Address - Fax:
Practice Address - Street 1:6780 MAYFIELD ROAD
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2203
Practice Address - Country:US
Practice Address - Phone:216-337-0932
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CPN.0028792363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner