Provider Demographics
NPI:1730824178
Name:AVERY, YOLANDA NICOLE
Entity type:Individual
Prefix:MISS
First Name:YOLANDA
Middle Name:NICOLE
Last Name:AVERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:913 APPLE GROVE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-5931
Mailing Address - Country:US
Mailing Address - Phone:804-507-7932
Mailing Address - Fax:
Practice Address - Street 1:913 APPLE GROVE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-5931
Practice Address - Country:US
Practice Address - Phone:804-507-7932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-30
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)