Individual
MRS. KELLIE MARIE CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 SE TIFFANY AVE, PORT SAINT LUCIE, FL 34952
(772) 335-4000
Mailing address
178 SW GLENWOOD DR, PORT SAINT LUCIE, FL 34984-5025
(772) 240-4188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9341938
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9341938
FL
Other
Enumeration date
03/20/2018
Last updated
08/17/2018
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