Healthcare Provider Details

I. General information

NPI: 1528925831
Provider Name (Legal Business Name): LOUISE CARDENAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14620 W ENCANTO BLVD STE 100
GOODYEAR AZ
85395-1616
US

IV. Provider business mailing address

14620 W ENCANTO BLVD STE 100
GOODYEAR AZ
85395-1616
US

V. Phone/Fax

Practice location:
  • Phone: 480-610-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number333597
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number333597
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: