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NPI Code Detail

MEDICARE: YOLANDA EUGENIA KLEMMER CNM

MEDICARE: YOLANDA EUGENIA KLEMMER CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife72000108AIN
2367A00000XAdvanced Practice MidwifeRN1018511DC
3363LX0001XObstetrics & Gynecology Nurse PractitionerRN1018511DC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3091827OTHERDCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750362463
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOLANDA EUGENIA KLEMMER CNM
Provider Business Mailing Address
First Line : 1220 12TH ST SE
Second Line : SUITE 120
City : WASHINGTON
State : DC
Zip : 20003-3722
Country : US
Telephone Number : 202-715-6572
Fax Number : 202-544-2714
Provider Business Practice Location Address
First Line : 4130 HUNT PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3565
Country : US
Telephone Number : 202-388-8160
Fax Number : 202-399-5419
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 06/14/2012

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Directions to “ YOLANDA EUGENIA KLEMMER CNM” Practice Location

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