Individual
YEO RAN SUSAN BYUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6085 MARSHALEE DR, ELKRIDGE, MD 21075-6023
(443) 829-1155
Mailing address
5308 TANGLE WOOD CT, ELLICOTT CITY, MD 21043-6305
(410) 744-8152
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R146422
MD
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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