Healthcare Provider Details

I. General information

NPI: 1275908733
Provider Name (Legal Business Name): YELDA YILMAZ ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2015
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 FOREST GLEN RD
SILVER SPRING MD
20910-1460
US

IV. Provider business mailing address

1500 FOREST GLEN RD DEPT
SILVER SPRING MD
20910-1484
US

V. Phone/Fax

Practice location:
  • Phone: 301-754-7281
  • Fax: 301-754-7289
Mailing address:
  • Phone: 301-754-7348
  • Fax: 301-754-3386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAC001755
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number0024170377
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: