Yeo Ran Susan Byun
Nurse Practitioner - Gerontology
6085 Marshalee Dr
Elkridge
, Maryland 21075-6023
Yeo Ran Susan Byun
Nurse Practitioner - Gerontology
6085 Marshalee Dr
Elkridge
, Maryland 21075-6023
(410) 744-8152
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Yeo Ran Susan Byun
- 5308 Tangle Wood Ct
- Ellicott City, MD
- Zip : 21043-6305
- Phone : (410) 744-8152
Second Address
- Yeo Ran Susan Byun
- 6085 Marshalee Dr
- Elkridge, MD
- Zip : 21075-6023
- Phone : (443) 829-1155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | R146422 | MD |
National Provider Identifier
| NPI | 1053475350 |
|---|---|
| Provider Name | Yeo Ran Susan Byun |
| First Address | Ellicott City, MD 21043-6305 |
| Second Address | Elkridge, MD 21075-6023 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.