Provider Demographics
NPI:1649528811
Name:YRAD, ANNA LUCENA SENO (APN-C)
Entity type:Individual
Prefix:
First Name:ANNA LUCENA
Middle Name:SENO
Last Name:YRAD
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 CEDAR POINT CT
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-4498
Mailing Address - Country:US
Mailing Address - Phone:732-608-7368
Mailing Address - Fax:
Practice Address - Street 1:1532 CORLIES AVE
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4904
Practice Address - Country:US
Practice Address - Phone:732-775-8400
Practice Address - Fax:732-775-8401
Is Sole Proprietor?:No
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00369100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health