Individual
ENA C. CARDONA-MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 752-0422
(435) 792-1677
Mailing address
187 E 13TH ST, IDAHO FALLS, ID 83404-5305
(208) 497-0500
(208) 497-0505
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
4730891-4405
UT
Other
Enumeration date
09/29/2006
Last updated
09/02/2020
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