Provider Demographics
NPI:1316931223
Name:YEW, CYNTHIA DAWN (CFNP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:DAWN
Last Name:YEW
Suffix:
Gender:
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44032 BRUCETON MILLS CIR
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-4808
Mailing Address - Country:US
Mailing Address - Phone:703-850-7619
Mailing Address - Fax:
Practice Address - Street 1:21135 WHITFIELD PL STE 107
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-7279
Practice Address - Country:US
Practice Address - Phone:703-421-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024116286363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA500023129OtherRR MEDICARE
VA07787880Medicaid
VA1316931223Medicaid
VA30016162860001Medicaid