Provider Demographics
NPI:1528640257
Name:CARDONA, ASHLEY LAUREN (NP)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:LAUREN
Last Name:CARDONA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LAUREN
Other - Last Name:ROMAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:169 S IH 35
Mailing Address - Street 2:STE 169
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4817
Mailing Address - Country:US
Mailing Address - Phone:830-620-9429
Mailing Address - Fax:830-620-9495
Practice Address - Street 1:169 S IH 35
Practice Address - Street 2:STE 169
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4817
Practice Address - Country:US
Practice Address - Phone:830-620-9429
Practice Address - Fax:830-620-9495
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1034358363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner