Healthcare Provider Details

I. General information

NPI: 1316931223
Provider Name (Legal Business Name): CYNTHIA DAWN YEW CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44121 LEESBURG PIKE STE 150
ASHBURN VA
20147-5669
US

IV. Provider business mailing address

44032 BRUCETON MILLS CIR
ASHBURN VA
20147-4808
US

V. Phone/Fax

Practice location:
  • Phone: 703-421-7000
  • Fax:
Mailing address:
  • Phone: 703-850-7619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024116286
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: