Most Relevant Information
Provider Data
| NPI Number: | 1003575523 |
| Provider Name: | MUTINTA YVONNE TEMBO PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/13/2021 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
9332 STATE ROAD 54 STE 307
NEW PORT RICHEY
FL
346551810
Practice Location Phone/Fax
| Phone: | 7279993311 |
| Fax: | 7274784966 |
Provider Mailing Location
9332 STATE ROAD 54 STE 307
NEW PORT RICHEY
FL
346551810
Provider Mailing Phone/Fax
| Phone: | 7279993311 |
| Fax: | 7274784966 |