Provider Demographics
NPI:1487142519
Name:ALVAREZ, YANDRA TERESA I (CNA)
Entity type:Individual
Prefix:MS
First Name:YANDRA
Middle Name:TERESA
Last Name:ALVAREZ
Suffix:I
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4696 GOLDEN GATE PKWY APT A
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34116-7103
Mailing Address - Country:US
Mailing Address - Phone:239-465-8564
Mailing Address - Fax:
Practice Address - Street 1:4696 GOLDEN GATE PKWY.
Practice Address - Street 2:APT:A
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116
Practice Address - Country:US
Practice Address - Phone:239-465-8564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL235330251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care