Provider Demographics
NPI:1508217498
Name:TOKON-YILMA, HANNA (FNP-C)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:TOKON-YILMA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14087 RICHMOND HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-2171
Mailing Address - Country:US
Mailing Address - Phone:571-300-8000
Mailing Address - Fax:571-300-8001
Practice Address - Street 1:14087 RICHMOND HWY STE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-2171
Practice Address - Country:US
Practice Address - Phone:571-300-8000
Practice Address - Fax:571-300-8001
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC001815363LF0000X
VA0024176367363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily