Provider Demographics
NPI:1083428049
Name:CARDENAS, MOLLY M
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:M
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3809 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-1935
Mailing Address - Country:US
Mailing Address - Phone:402-466-4409
Mailing Address - Fax:402-475-6722
Practice Address - Street 1:3809 ADAMS ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-1935
Practice Address - Country:US
Practice Address - Phone:402-466-4409
Practice Address - Fax:402-475-6722
Is Sole Proprietor?:No
Enumeration Date:2025-02-01
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist