Provider Demographics
NPI:1740893338
Name:MARTIN, DANA YVETTA (CNA)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:YVETTA
Last Name:MARTIN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14256 ARBOR FOREST DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-7477
Mailing Address - Country:US
Mailing Address - Phone:240-731-7930
Mailing Address - Fax:
Practice Address - Street 1:14256 ARBOR FOREST DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-7477
Practice Address - Country:US
Practice Address - Phone:240-731-7930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCNA20202111251E00000X, 374U00000X, 376K00000X
MDM635135968123172A00000X
376J00000X, 106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide
No172A00000XOther Service ProvidersDriver
No376J00000XNursing Service Related ProvidersHomemaker