Healthcare Provider Details

I. General information

NPI: 1679444061
Provider Name (Legal Business Name): RENAE L YANERO AANP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2216 N CYPRESS BEND DR APT 510
POMPANO BEACH FL
33069-4425
US

IV. Provider business mailing address

49 N FEDERAL HWY # 305
POMPANO BEACH FL
33062-4304
US

V. Phone/Fax

Practice location:
  • Phone: 954-644-3142
  • Fax:
Mailing address:
  • Phone: 954-644-3142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9574557
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: