Provider Demographics
NPI:1821092883
Name:WASHINGTON-TURAY, YVONNE (FNP)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:
Last Name:WASHINGTON-TURAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:YVONNE
Other - Middle Name:WASHINGTON
Other - Last Name:TURAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, FNP, APRN-BC
Mailing Address - Street 1:PO BOX 1551
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20773-1551
Mailing Address - Country:US
Mailing Address - Phone:240-482-6171
Mailing Address - Fax:301-627-5709
Practice Address - Street 1:10111 MARTIN LUTHER KING AVENUE
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20722-2077
Practice Address - Country:US
Practice Address - Phone:240-482-6171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR117867363LF0000X
DCRN61574363LF0000X
VI9445363LF0000X
MA182647363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI1821092883Medicare UPIN