KELLY MARIE CARDOZA PHN NPI 1598270050

NPI Information

NPI: 1598270050
Provider Name: KELLY MARIE CARDOZA, PHN
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
820 SCENIC DR
MODESTO, CA
ZIP 95350
Phone: (209) 558-5620
Get Directions

Kelly Marie Cardoza, PHN is a general practice registered nurse in Modesto, CA. Kelly Marie Cardoza, PHN NPI is 1598270050. 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:

820 SCENIC DR
MODESTO, CA
ZIP 95350-131
Phone: (209) 558-5620
Fax: (209) 558-4813

The enumeration date for this NPI number is 12/6/2017 and was last updated on 12/6/2017.

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	163WG0000X	Registered Nurse	General Practice	553828	CALIFORNIA	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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