Provider Demographics
NPI:1306525720
Name:CAYEMITTE, YAMILEY
Entity type:Individual
Prefix:
First Name:YAMILEY
Middle Name:
Last Name:CAYEMITTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 RANGE RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-4027
Mailing Address - Country:US
Mailing Address - Phone:617-594-9928
Mailing Address - Fax:
Practice Address - Street 1:28 RANGE RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4027
Practice Address - Country:US
Practice Address - Phone:617-594-9928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2313915163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse