Provider Demographics
NPI:1396118204
Name:MONCADA, YOLIMA (FNP)
Entity type:Individual
Prefix:
First Name:YOLIMA
Middle Name:
Last Name:MONCADA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:YOLIM
Other - Middle Name:
Other - Last Name:MONCADA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:1201 BRADDOCK PL APT 501
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-1671
Mailing Address - Country:US
Mailing Address - Phone:202-355-4352
Mailing Address - Fax:
Practice Address - Street 1:3610D KING ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-1908
Practice Address - Country:US
Practice Address - Phone:703-845-2815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN967590363LF0000X
VA0024177479363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily