Healthcare Provider Details

I. General information

NPI: 1083254023
Provider Name (Legal Business Name): BRIGITTE ADJOUA YAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 FOREST ROSE CT
DISTRICT HEIGHTS MD
20747-3959
US

IV. Provider business mailing address

1312 CLIFTON ST NW APT 112S
WASHINGTON DC
20009-7008
US

V. Phone/Fax

Practice location:
  • Phone: 240-716-2176
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA14890
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: