Provider Demographics
NPI:1861933780
Name:BORRERO DURAN, YEAMIN (RN)
Entity type:Individual
Prefix:
First Name:YEAMIN
Middle Name:
Last Name:BORRERO DURAN
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 1:3318 S SEMORAN BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-3126
Mailing Address - Country:US
Mailing Address - Phone:321-217-4427
Mailing Address - Fax:
Practice Address - Street 1:3318 S SEMORAN BLVD APT 1
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-3126
Practice Address - Country:US
Practice Address - Phone:321-217-4427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-10
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9395551164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse