Provider Demographics
NPI:1487314829
Name:CARDONA, SUSAN MUSICK (FNP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:MUSICK
Last Name:CARDONA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W QUEEN CREEK RD APT 2012
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3311
Mailing Address - Country:US
Mailing Address - Phone:480-619-7447
Mailing Address - Fax:
Practice Address - Street 1:7040 E GOLF LINKS RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85730-1000
Practice Address - Country:US
Practice Address - Phone:520-200-6709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-27
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ266153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily