Provider Demographics
NPI:1265160105
Name:CARDINAL, NANCY (NBC-HWC)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:CARDINAL
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31429 ROCKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19967-6723
Mailing Address - Country:US
Mailing Address - Phone:443-504-4597
Mailing Address - Fax:
Practice Address - Street 1:31429 ROCKWOOD RD
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:DE
Practice Address - Zip Code:19967-6723
Practice Address - Country:US
Practice Address - Phone:443-504-4597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
151027279171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach