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NPI Code Detail

MEDICARE: VICTORIA CARDENAS RN

MEDICARE: VICTORIA CARDENAS RN
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
1163W00000XRegistered NurseRN60737730WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912457862
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA CARDENAS RN
Provider Business Mailing Address
First Line : 601 N KEYS RD
Second Line :
City : YAKIMA
State : WA
Zip : 98901-1172
Country : US
Telephone Number : 509-225-3383
Fax Number :
Provider Business Practice Location Address
First Line : 601 N KEYS RD
Second Line :
City : YAKIMA
State : WA
Zip : 98901-1172
Country : US
Telephone Number : 509-225-3383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2016
Last Update Date : 03/01/2022

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