Healthcare Provider Details

I. General information

NPI: 1922970615
Provider Name (Legal Business Name): APRIL ANN CARDENAS MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 SAINT MICHAELS DR STE B204
SANTA FE NM
87505-7681
US

IV. Provider business mailing address

435 SAINT MICHAELS DR STE B204
SANTA FE NM
87505-7681
US

V. Phone/Fax

Practice location:
  • Phone: 505-336-4867
  • Fax: 505-248-2723
Mailing address:
  • Phone: 505-336-4867
  • Fax: 505-248-2723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: