Individual
MRS. MICHAELLA M YEUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1250 S HARBOR CITY BLVD, SUITE A, MELBOURNE, FL 32901-3242
(321) 725-8919
(321) 725-8854
Mailing address
PO BOX 866, MELBOURNE, FL 32902-0866
(321) 725-8919
(321) 725-8854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN3252742
FL
163WR0006X
Registered Nurse First Assistant
RN3252742
FL
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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