Provider Demographics
NPI:1699969170
Name:NKEMAKOLAM, YOLANDA MICHELLE (RN BSN)
Entity type:Individual
Prefix:MRS
First Name:YOLANDA
Middle Name:MICHELLE
Last Name:NKEMAKOLAM
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19003 LA VERITA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4538
Mailing Address - Country:US
Mailing Address - Phone:210-479-1400
Mailing Address - Fax:210-493-9811
Practice Address - Street 1:19003 LA VERITA
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4538
Practice Address - Country:US
Practice Address - Phone:210-479-1400
Practice Address - Fax:210-493-9811
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX658744171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator