Provider Demographics
NPI:1295610962
Name:MEULENER-GARCIA, YADIRA (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:YADIRA
Middle Name:
Last Name:MEULENER-GARCIA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-5563
Mailing Address - Country:US
Mailing Address - Phone:201-966-7720
Mailing Address - Fax:
Practice Address - Street 1:244 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-5563
Practice Address - Country:US
Practice Address - Phone:201-966-7720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15383500363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health