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Individual
MANUEL JOHANNES CARDENAS RIVERA
Active
Individual
MANUEL JOHANNES CARDENAS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
28260160C
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71017687A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
28260160C
IN
Other
Enumeration date
12/03/2025
Last updated
09/21/2026
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