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MRS. OCTAVIA GENISE YANCEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
820 BESTGATE RD, ANNAPOLIS, MD 21401-3404
(240) 593-1195
(410) 224-2118
Mailing address
4511 DR BEANS LEGACY CIR, BOWIE, MD 20720-6385
(240) 593-1195

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
R194184
MD
363L00000X
Nurse Practitioner
Primary
R194184
MD

Other

Enumeration date
03/13/2024
Last updated
07/11/2025
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