Provider Demographics
NPI:1215707492
Name:BANKS, YVONNE MARY (MBA, LNHA, LPN)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:MARY
Last Name:BANKS
Suffix:
Gender:F
Credentials:MBA, LNHA, LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 NEW HAMPSHIRE ST
Mailing Address - Street 2:
Mailing Address - City:MUSCATINE
Mailing Address - State:IA
Mailing Address - Zip Code:52761-1855
Mailing Address - Country:US
Mailing Address - Phone:563-272-9812
Mailing Address - Fax:
Practice Address - Street 1:1507 NEW HAMPSHIRE ST
Practice Address - Street 2:
Practice Address - City:MUSCATINE
Practice Address - State:IA
Practice Address - Zip Code:52761-1855
Practice Address - Country:US
Practice Address - Phone:563-272-9812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X, 374U00000X, 376J00000X
IAP42485164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker