Provider Demographics
NPI:1992108419
Name:CARDENAS, NERY
Entity type:Individual
Prefix:
First Name:NERY
Middle Name:
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 1:1181 19TH ST SW
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34117-4435
Mailing Address - Country:US
Mailing Address - Phone:239-293-0041
Mailing Address - Fax:
Practice Address - Street 1:11725 COLLIER BLVD SUITE A-2
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34116
Practice Address - Country:US
Practice Address - Phone:239-293-0041
Practice Address - Fax:239-236-1236
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker