Individual provider · Type 1 NPI
Ena C. Cardona-Mason, N.P.
Obstetrics & Gynecology Nurse Practitioner · Logan, UT
NPI number
1659463404
Active
Practice location
1350 N 500 E
Logan, UT 84341-2400
Fax (435) 792-1677
Mailing address
187 E 13th St
Idaho Falls, ID 83404-5305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 4730891-4405 (UT) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
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About NPI 1659463404
Ena C. Cardona-Mason, N.P.'s National Provider Identifier is 1659463404, issued on Sep 29, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Logan, UT. The record was last updated on Sep 2, 2020.