Healthcare Provider Details

I. General information

NPI: 1700707536
Provider Name (Legal Business Name): DAVID WAYNE CARDONA JR. DNP, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N FRESNO ST STE 220
FRESNO CA
93703-3843
US

IV. Provider business mailing address

1300 N FRESNO ST STE 220
FRESNO CA
93703-3843
US

V. Phone/Fax

Practice location:
  • Phone: 559-495-6707
  • Fax:
Mailing address:
  • Phone: 559-495-6707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95040707
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: