Provider Demographics
NPI:1659911022
Name:SWANN, YVONNE NACION (PMHNP-BC)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:NACION
Last Name:SWANN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10917 POWELL RD
Mailing Address - Street 2:
Mailing Address - City:THURMONT
Mailing Address - State:MD
Mailing Address - Zip Code:21788-2818
Mailing Address - Country:US
Mailing Address - Phone:240-457-2003
Mailing Address - Fax:
Practice Address - Street 1:8945 N WESTLAND DR
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1249
Practice Address - Country:US
Practice Address - Phone:301-330-0006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR210121363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health