Provider Demographics
NPI:1295383388
Name:YILDIRIM, OYA
Entity Type:Individual
Prefix:
First Name:OYA
Middle Name:
Last Name:YILDIRIM
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 1:400 W PEACHTREE ST NW UNIT 2304
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-3552
Mailing Address - Country:US
Mailing Address - Phone:404-406-2087
Mailing Address - Fax:
Practice Address - Street 1:400 W PEACHTREE ST NW UNIT 2304
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-3552
Practice Address - Country:US
Practice Address - Phone:404-406-2087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-31
Last Update Date:2019-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN250079363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily