Healthcare Provider Details

I. General information

NPI: 1700307337
Provider Name (Legal Business Name): MARIA C CARDENAS PSYCH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2017
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE C
DENVER CO
80203-1859
US

IV. Provider business mailing address

608 IDAHO AVE
ORDWAY CO
81063-1031
US

V. Phone/Fax

Practice location:
  • Phone: 657-243-4270
  • Fax: 888-414-7199
Mailing address:
  • Phone: 719-469-7468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number0999946
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number0169073
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: