MEDICARE: HAIYING YE CRNP-FAMILY

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
1	363LF0000X	Family Nurse Practitioner	R185955	MD

General Provider Information

NPI Number	:	1932678216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAIYING YE CRNP-FAMILY

Provider Business Mailing Address
First Line	:	14323 WOODCREST DR
Second Line	:
City	:	ROCKVILLE
State	:	MD
Zip	:	20853-2334
Country	:	US
Telephone Number	:	203-804-1368
Fax Number	:

Provider Business Practice Location Address
First Line	:	7500 HANOVER PKWY STE 105B
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-2091
Country	:	US
Telephone Number	:	301-593-8500
Fax Number	:	301-593-7547

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2018
Last Update Date	:	03/01/2019

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Directions to “ HAIYING YE CRNP-FAMILY” Practice Location

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