Provider Demographics
NPI:1871464354
Name:CAMPOS CANAS, YENY BERALY
Entity type:Individual
Prefix:
First Name:YENY
Middle Name:BERALY
Last Name:CAMPOS CANAS
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 1:2727 DUKE ST APT 503
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4536
Mailing Address - Country:US
Mailing Address - Phone:571-835-2689
Mailing Address - Fax:
Practice Address - Street 1:2727 DUKE ST APT 503
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4536
Practice Address - Country:US
Practice Address - Phone:571-835-2689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care