Provider Demographics
NPI:1417232596
Name:EXETER, YONETTE (NP)
Entity Type:Individual
Prefix:
First Name:YONETTE
Middle Name:
Last Name:EXETER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 KING FARM BLVD 6TH FLOOR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6043
Mailing Address - Country:US
Mailing Address - Phone:202-550-0746
Mailing Address - Fax:855-368-3531
Practice Address - Street 1:3800 RESERVOIR RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-444-7368
Practice Address - Fax:877-303-1462
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1011340363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner