Provider Demographics
NPI:1710172895
Name:VAZIRANI, JYOTIKA DEVI (CRNP CS P)
Entity Type:Individual
Prefix:MS
First Name:JYOTIKA
Middle Name:DEVI
Last Name:VAZIRANI
Suffix:
Gender:F
Credentials:CRNP CS P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1632 OAKLAWN CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903-1415
Mailing Address - Country:US
Mailing Address - Phone:301-404-8196
Mailing Address - Fax:301-593-1033
Practice Address - Street 1:1213 U STREET NW
Practice Address - Street 2:SUITE 1
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009
Practice Address - Country:US
Practice Address - Phone:301-404-8196
Practice Address - Fax:301-593-1033
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR130047363LP0808X, 364SP0808X
DCRN64943364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health