Gaines, Katrina Armida Cardenas

Gaines, Katrina Armida Cardenas is an individual health care provider with primary practice located at 6524 W Sack Dr , Glendale AZ 85308-7178. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Gaines, Katrina Armida Cardenas can be contacted via phone (602) 933-0016.

Contact Information

Primary practice address
6524 W Sack Dr Glendale AZ 85308-7178
Phone: (602) 933-0016
Fax: (602) 933-4318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4738 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4738 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4738 Arizona

Profile Details

NPI number 1285943654
LBN Legal business name Gaines, Katrina Armida Cardenas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2010
Last updated May 7th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285943654 NPPES
Arizona MEDICAID 564234

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