Provider Demographics
NPI:1700903168
Name:YEARWOOD, SANDRA O (RN)
Entity type:Individual
Prefix:MISS
First Name:SANDRA
Middle Name:O
Last Name:YEARWOOD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:1086 E 39TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3506
Mailing Address - Country:US
Mailing Address - Phone:347-713-5127
Mailing Address - Fax:347-713-5127
Practice Address - Street 1:UCP OF NYC 185 ARDSLEY LOOP
Practice Address - Street 2:2ND FL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11239-1313
Practice Address - Country:US
Practice Address - Phone:718-642-6424
Practice Address - Fax:718-942-0123
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY413031-1163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice