DR. ELIZABETH SHADE CARDENAS DNP NPI 1174936140

NPI Information

NPI: 1174936140
Provider Name: DR. ELIZABETH SHADE CARDENAS, DNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
500 FOOTHILL DRIVE #182H
VETERANS HEALTHCARE ADMINISTRATION
SALT LAKE CITY, UT
ZIP 84148
Phone: (801) 582-1565
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DR. Elizabeth Shade Cardenas, DNP is an adult health nurse practitioner in Salt Lake City, UT. DR. Elizabeth Shade Cardenas, DNP NPI is 1174936140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 FOOTHILL DRIVE #182H
VETERANS HEALTHCARE ADMINISTRATION
SALT LAKE CITY, UT
ZIP 84148
Phone: (801) 582-1565
Fax: (801) 584-5609

The NPI 1174936140 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2014 and was last updated on 10/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	6267273-4405	UTAH	No
2	363LA2200X	Nurse Practitioner	Adult Health	6267273-4405	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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