Basic Information
Provider Information
NPI: 1821553470
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YILDIZ
FirstName: FIGEN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
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Mailing Information
Address1: 2500 MARYLAND RD STE 400
Address2:  
City: WILLOW GROVE
State: PA
PostalCode: 190901225
CountryCode: US
TelephoneNumber: 2154814143
FaxNumber: 2154816790
Practice Location
Address1: 1235 OLD YORK RD STE 210
Address2:  
City: ABINGTON
State: PA
PostalCode: 190013841
CountryCode: US
TelephoneNumber: 2156593220
FaxNumber: 2156598967
Other Information
ProviderEnumerationDate: 02/07/2019
LastUpdateDate: 10/22/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XSPO19167PAN Allopathic & Osteopathic PhysiciansFamily Medicine 
363LG0600XSP019167PAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
363L00000XSP019167PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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