Provider Demographics
NPI:1144651449
Name:YANOS, VIRGINIA CAMPOS (RN, MSN)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:CAMPOS
Last Name:YANOS
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 164TH ST SW STE A
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-6915
Mailing Address - Country:US
Mailing Address - Phone:425-971-9342
Mailing Address - Fax:425-745-6919
Practice Address - Street 1:4201 164TH ST SW STE A
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-6915
Practice Address - Country:US
Practice Address - Phone:425-971-9342
Practice Address - Fax:425-745-6919
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN 00158688376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376G00000XNursing Service Related ProvidersNursing Home Administrator