45D2133161 CLIA NUMBER - CARDENAS HOLISTIC HEALTHCARE PLLC

Laboratory Demographics

CLIA Number: 45D2133161

Facility Name: CARDENAS HOLISTIC HEALTHCARE PLLC

Facility Address:
1015 HILLCREST DR SUITE A
VERNON, TX
ZIP 76384
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Facility Phone Number: 940 552-5495

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1912453341

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	45D2133161
LAB Type	Physician Office
Facility Name	CARDENAS HOLISTIC HEALTHCARE PLLC
Street	1015 HILLCREST DR SUITE A
City	VERNON
State	TX
ZIP	76384
Phone	940 552-5495
CertificateType	4
CertificateEffectiveDate	7/6/2023
CertificateExpirationDate	7/5/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024