Most Relevant Information
Provider Data
| NPI Number: | 1003581745 |
| Provider Name: | YESICA CANO APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ01169800 |
Most Important Dates
| Enumeration Date: | 08/13/2021 |
| Last Updated: | 08/13/2021 |
Provider Practice Location
375 MOUNT PLEASANT AVE
WEST ORANGE
NJ
070522750
Practice Location Phone/Fax
| Phone: | 9737319442 |
| Fax: |
Provider Mailing Location
375 MOUNT PLEASANT AVE
WEST ORANGE
NJ
070522750
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |