Provider Demographics
NPI:1588121370
Name:ACHI, YVONNE ANCHIA (NP)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:ANCHIA
Last Name:ACHI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2782 FREDERICKSBURG RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2189
Mailing Address - Country:US
Mailing Address - Phone:240-271-6176
Mailing Address - Fax:
Practice Address - Street 1:2782 FREDERICKSBURG RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-2189
Practice Address - Country:US
Practice Address - Phone:240-271-6176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR191009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily