Healthcare Provider Details

I. General information

NPI: 1760911382
Provider Name (Legal Business Name): EMILY YANEZ DENIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY CLEMMA YANEZ

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 W WASHINGTON AVE STE 301
MADISON WI
53703-3007
US

IV. Provider business mailing address

345 W WASHINGTON AVE STE 301
MADISON WI
53703-3007
US

V. Phone/Fax

Practice location:
  • Phone: 262-239-7327
  • Fax: 262-200-9343
Mailing address:
  • Phone: 262-239-7327
  • Fax: 262-200-9343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036178116
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number81350
License Number StateWI
# 3
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number81384
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD472559
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: