Healthcare Provider Details

I. General information

NPI: 1326981895
Provider Name (Legal Business Name): YETNAYET HEYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1913 E WEST HWY
SILVER SPRING MD
20910-2407
US

IV. Provider business mailing address

1913 E WEST HWY
SILVER SPRING MD
20910-2407
US

V. Phone/Fax

Practice location:
  • Phone: 202-340-1871
  • Fax:
Mailing address:
  • Phone: 202-340-1871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006313
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: