Grant, Yvonne Evadney

Grant, Yvonne Evadney is an sole proprietor health care provider with primary practice located at 722 E Memorial Blvd Suite B, Lakeland FL 33801-1848. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Grant, Yvonne Evadney can be contacted via phone (863) 370-8847.

Contact Information

Primary practice address
722 E Memorial Blvd Suite B Lakeland FL 33801-1848
Phone: (863) 370-8847
Fax: (877) 766-5643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP1899642 Florida

Profile Details

NPI number 1740277912
LBN Legal business name Grant, Yvonne Evadney
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Mar 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740277912 NPPES
Florida MEDICAID 304139500

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