Provider Demographics
NPI:1124406749
Name:TCHUINDJO, SYLVIE T
Entity Type:Individual
Prefix:MRS
First Name:SYLVIE
Middle Name:T
Last Name:TCHUINDJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9607 BELLEVUE DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3923
Mailing Address - Country:US
Mailing Address - Phone:240-421-7318
Mailing Address - Fax:
Practice Address - Street 1:6179 EXECUTIVE BLVD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3901
Practice Address - Country:US
Practice Address - Phone:240-994-3824
Practice Address - Fax:240-994-3636
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR189013363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health