Provider Demographics
NPI:1861077083
Name:DALEMBERT, YVEROSE (CNM,WHNP-C)
Entity type:Individual
Prefix:
First Name:YVEROSE
Middle Name:
Last Name:DALEMBERT
Suffix:
Gender:F
Credentials:CNM,WHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2483 SW 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2907
Mailing Address - Country:US
Mailing Address - Phone:561-373-7840
Mailing Address - Fax:
Practice Address - Street 1:179 INDEPENDENCE RD
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-9207
Practice Address - Country:US
Practice Address - Phone:570-426-2700
Practice Address - Fax:570-421-0560
Is Sole Proprietor?:No
Enumeration Date:2021-03-10
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW010610367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232349341Medicaid