Provider Demographics
NPI:1396437521
Name:YEME, SIKA YVETTE (CRNP-PMH)
Entity type:Individual
Prefix:
First Name:SIKA
Middle Name:YVETTE
Last Name:YEME
Suffix:
Gender:F
Credentials:CRNP-PMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23404 HARNESS POINT WAY
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-4049
Mailing Address - Country:US
Mailing Address - Phone:301-793-9468
Mailing Address - Fax:
Practice Address - Street 1:23404 HARNESS POINT WAY
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-4049
Practice Address - Country:US
Practice Address - Phone:301-793-9468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR218028363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health