Provider Demographics
NPI:1699570606
Name:NEGRIN YERENA, ANA
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:NEGRIN YERENA
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 1:1693 CARATOKE HWY
Mailing Address - Street 2:
Mailing Address - City:MOYOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27958-8725
Mailing Address - Country:US
Mailing Address - Phone:252-435-1665
Mailing Address - Fax:
Practice Address - Street 1:5208 NORMANDY COB DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2380
Practice Address - Country:US
Practice Address - Phone:252-435-1665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician