Provider Demographics
NPI:1538035043
Name:CARDWELL, KRISTIN L (RN)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:L
Last Name:CARDWELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43340 VIA ANGELES
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-9455
Mailing Address - Country:US
Mailing Address - Phone:951-970-4692
Mailing Address - Fax:
Practice Address - Street 1:43340 VIA ANGELES
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-9455
Practice Address - Country:US
Practice Address - Phone:951-970-4692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA503833163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health