Healthcare Provider Details

I. General information

NPI: 1396437521
Provider Name (Legal Business Name): SIKA YVETTE YEME CRNP-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 W BROAD ST
FALLS CHURCH VA
22046-2114
US

IV. Provider business mailing address

1104 W BROAD ST
FALLS CHURCH VA
22046-2114
US

V. Phone/Fax

Practice location:
  • Phone: 301-346-1595
  • Fax:
Mailing address:
  • Phone: 301-346-1595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR218028
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: