Provider Demographics
NPI:1477945780
Name:CARDENAS, ANA L (NP-C)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:L
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:ANA
Other - Middle Name:L
Other - Last Name:CARDENAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:1503 S LOGAN DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710-6325
Mailing Address - Country:US
Mailing Address - Phone:520-886-4434
Mailing Address - Fax:
Practice Address - Street 1:SOUTHERN ARIZONA VA HEALTH CARE SYSTEM 3601 AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85723-0001
Practice Address - Country:US
Practice Address - Phone:520-792-1450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7618363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily