Individual
ASHLEY LYNNE CARDENAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3337
(801) 357-7850
Mailing address
1034 N 500 W, PROVO, UT 84604-3337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11856778-1206
UT
363A00000X
Physician Assistant
PA195066
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1162379
NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
—
01
—
11856778-1206
UTAH MEDICAL BOARD
UT
01
—
PA195066
OREGON MEDICAL BOARD
OR
Enumeration date
08/09/2019
Last updated
09/19/2024
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