Individual
JOSEPH XAVIER PAVILLAR YAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5270
(202) 687-0100
Mailing address
5506 MAUDES WAY, WHITE MARSH, MD 21162-3417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R239485
MD
163WC0200X
Critical Care Medicine Registered Nurse
R239485
MD
367500000X
Certified Registered Nurse Anesthetist
0024195106
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
R239485
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R239485
RN LICENSE
MD
Enumeration date
06/10/2022
Last updated
10/27/2025
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