Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN1031110 | DC |
NPI | 1023668746 |
---|---|
Provider Name | Yuri Paredes |
First Address | Fairfax, VA 22031-1024 |
Second Address | Washington, DC 20032-4623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2019 |
Last Update Date | 14/09/2019 |