Provider Demographics
NPI:1164561080
Name:FLOYD, YUNGRAN A (CRNP)
Entity Type:Individual
Prefix:
First Name:YUNGRAN
Middle Name:A
Last Name:FLOYD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:YUNGRAN
Other - Middle Name:A
Other - Last Name:KAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5804 BALTIMORE AVENUE
Mailing Address - Street 2:
Mailing Address - City:HYATTVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20781
Mailing Address - Country:US
Mailing Address - Phone:301-927-7800
Mailing Address - Fax:301-209-9474
Practice Address - Street 1:5804 BALTIMORE AVE
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20781-1623
Practice Address - Country:US
Practice Address - Phone:301-927-7800
Practice Address - Fax:301-209-9474
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR115761363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health