Healthcare Provider Details

I. General information

NPI: 1891391629
Provider Name (Legal Business Name): YOLANDA COATES FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2020
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1498 REISTERSTOWN RD STE 1051498
PIKESVILLE MD
21208-3817
US

IV. Provider business mailing address

1498 REISTERSTOWN RD STE 105
PIKESVILLE MD
21208-3817
US

V. Phone/Fax

Practice location:
  • Phone: 410-504-7833
  • Fax:
Mailing address:
  • Phone: 410-504-7833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR219773
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR219773
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: