Provider Demographics
NPI:1083918106
Name:CARDARELLI, MICHAL LINDSEY (FNP-BC, PMHNP-C)
Entity type:Individual
Prefix:
First Name:MICHAL
Middle Name:LINDSEY
Last Name:CARDARELLI
Suffix:
Gender:F
Credentials:FNP-BC, PMHNP-C
Other - Prefix:
Other - First Name:MICHAL
Other - Middle Name:LINDSEY
Other - Last Name:KOYL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC, PMHNP-C
Mailing Address - Street 1:855 3RD AVE
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-1354
Mailing Address - Country:US
Mailing Address - Phone:833-722-7330
Mailing Address - Fax:
Practice Address - Street 1:855 THIRD AVENUE
Practice Address - Street 2:SUITE 2200
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911
Practice Address - Country:US
Practice Address - Phone:619-426-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19097363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily