Individual
DIANE M CARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
980 TEMPLIN AVE, BARDSTOWN, KY 40004-2508
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6579P
KY
363LF0000X
Family Nurse Practitioner
Primary
3006579
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12149818
CAQH
—
05
—
7100206030
—
KY
Enumeration date
08/05/2010
Last updated
05/12/2023
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