Individual
MRS. DANIELLE ELIZABETH CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2417 ATRIUM DR STE 150, RALEIGH, NC 27607-6673
(919) 791-2040
Mailing address
2417 ATRIUM DR STE 150, RALEIGH, NC 27607-6673
(919) 791-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02472
NC
363AM0700X
Medical Physician Assistant
00102472
NC
363AM0700X
Medical Physician Assistant
25MP00030400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750304820
—
NC
Enumeration date
07/26/2006
Last updated
05/23/2019
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