Provider Demographics
NPI:1871260422
Name:CARDENAS, YESENIA
Entity Type:Individual
Prefix:
First Name:YESENIA
Middle Name:
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4865 JOULE ST STE C4
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4151
Mailing Address - Country:US
Mailing Address - Phone:775-376-8274
Mailing Address - Fax:775-470-6636
Practice Address - Street 1:4865 JOULE ST STE C4
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4151
Practice Address - Country:US
Practice Address - Phone:775-376-8274
Practice Address - Fax:775-470-6636
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker