Provider Demographics
NPI:1730261413
Name:COLEMAN, YNEZ ANN (RN)
Entity type:Individual
Prefix:MRS
First Name:YNEZ
Middle Name:ANN
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 BURNT STORE RD
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:VA
Mailing Address - Zip Code:23950-1529
Mailing Address - Country:US
Mailing Address - Phone:434-447-2679
Mailing Address - Fax:
Practice Address - Street 1:1607 PLANTERS RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23868-3350
Practice Address - Country:US
Practice Address - Phone:434-848-9349
Practice Address - Fax:434-848-0585
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001166094163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator