Provider Demographics
NPI:1962252833
Name:CARDENAS, YAJAIRA S (DNP, APRN,FNP-BC)
Entity type:Individual
Prefix:DR
First Name:YAJAIRA
Middle Name:S
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:DNP, APRN,FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 N BEDELL AVE STE A
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-4173
Mailing Address - Country:US
Mailing Address - Phone:440-600-8983
Mailing Address - Fax:
Practice Address - Street 1:612 N BEDELL AVE STE A
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-4173
Practice Address - Country:US
Practice Address - Phone:440-600-8983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1145279363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily