Provider Demographics
NPI:1588277875
Name:ALLEN-MORGAN, YVONNE MARIE (FNP)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:MARIE
Last Name:ALLEN-MORGAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 CLAREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-3305
Mailing Address - Country:US
Mailing Address - Phone:917-328-2015
Mailing Address - Fax:
Practice Address - Street 1:221 CLAREMONT AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-3305
Practice Address - Country:US
Practice Address - Phone:917-328-2015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY615402-1163W00000X
NYF346011-01363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse