Provider Demographics
NPI:1275538050
Name:MORAGNE-COON, YVONNE MARIE (PHD, CRNP)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:MARIE
Last Name:MORAGNE-COON
Suffix:
Gender:F
Credentials:PHD, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11602 CLAIRTON CT
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2133
Mailing Address - Country:US
Mailing Address - Phone:301-873-7061
Mailing Address - Fax:301-262-5329
Practice Address - Street 1:2500 W NORTH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21216-3633
Practice Address - Country:US
Practice Address - Phone:410-951-3978
Practice Address - Fax:410-462-3032
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR075730363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health