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NPI Code Detail

MEDICARE: MS. ANA JULIA CARDENAS NP

MEDICARE: MS. ANA JULIA CARDENAS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024166164VA

General Provider Information

NPI Number : 1619149150
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANA JULIA CARDENAS NP
Provider Business Mailing Address
First Line : 920 2ND AVE S STE 400
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55402-4010
Country : US
Telephone Number : 612-225-1538
Fax Number :
Provider Business Practice Location Address
First Line : 415 E MONROE AVE
Second Line : MINUTE CLINIC
City : ALEXANDRIA
State : VA
Zip : 22301-1624
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2008
Last Update Date : 04/14/2011

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