Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 01010555840 | VA |
N | 207P00000X | Emergency Physician | D0051927 | MD |
N | 207PP0204X | Pediatric Emergency Physician | 0101055840 | VA |
N | 207PP0204X | Pediatric Emergency Physician | D0051927 | MD |
NPI | 1265486641 |
---|---|
Provider Name | Dawn M Yules |
First Address | Potomac, MD 20854-4057 |
Second Address | Gaithersburg, MD 20879-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 30/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5801311 | (05) | VA |
930051780 | RAILROAD MEDICARE (01) | VA |
G55962 | (02) | VA |