Healthcare Provider Details

I. General information

NPI: 1609000884
Provider Name (Legal Business Name): WENDY MARISELA CARDENAS ARNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2009
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 SW 72ND ST STE 130
SOUTH MIAMI FL
33143-4832
US

IV. Provider business mailing address

8900 N KENDALL DR
MIAMI FL
33176-2118
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-6159
  • Fax:
Mailing address:
  • Phone: 786-596-9758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberARNP 9174992
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9174992
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: