MEDICARE: SAVANNAH ANGELIQUE YANEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1750268363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH ANGELIQUE YANEZ

Provider Business Mailing Address
First Line	:	121 CHANLON RD
Second Line	:
City	:	NEW PROVIDENCE
State	:	NJ
Zip	:	07974-1543
Country	:	US
Telephone Number	:	973-299-9954
Fax Number	:

Provider Business Practice Location Address
First Line	:	1248 DENA WAY
Second Line	:
City	:	SANTA MARIA
State	:	CA
Zip	:	93454-2551
Country	:	US
Telephone Number	:	805-361-7940
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	08/18/2025

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Directions to “ SAVANNAH ANGELIQUE YANEZ ” Practice Location

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