MEDICARE: JULIET EYANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide	HHA10333	DC
2	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427472505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIET EYANG

Provider Business Mailing Address
First Line	:	1704 MOUNT PISGAH LN APT 13
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-2435
Country	:	US
Telephone Number	:	240-705-6853
Fax Number	:

Provider Business Practice Location Address
First Line	:	1704 MOUNT PISGAH LN APT 13
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-2435
Country	:	US
Telephone Number	:	240-705-6853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2014
Last Update Date	:	06/08/2023

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