Provider Demographics
NPI:1871045757
Name:SVOBODA, YVETTE (FNP)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:SVOBODA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2703 BRADBURY CT
Mailing Address - Street 2:
Mailing Address - City:DAVIDSONVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21035-2447
Mailing Address - Country:US
Mailing Address - Phone:410-798-4274
Mailing Address - Fax:
Practice Address - Street 1:2703 BRADBURY CT
Practice Address - Street 2:
Practice Address - City:DAVIDSONVILLE
Practice Address - State:MD
Practice Address - Zip Code:21035-2447
Practice Address - Country:US
Practice Address - Phone:410-798-4274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR122710363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily