Provider Demographics
NPI:1770180739
Name:BRIDGES, YUNLAY QUILLO (DNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:YUNLAY
Middle Name:QUILLO
Last Name:BRIDGES
Suffix:
Gender:M
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9767 FRANKFURT DR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-5345
Mailing Address - Country:US
Mailing Address - Phone:301-267-5090
Mailing Address - Fax:
Practice Address - Street 1:9767 FRANKFURT DR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-5345
Practice Address - Country:US
Practice Address - Phone:301-267-5090
Practice Address - Fax:301-267-5090
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR125983363LP0808X
DCNP64283363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty