| Doctor Name: | BLANCA ESTELA CARDENAS |
| NPI Number: | 1003133984 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP, MSN, PHN, RN |
| License Number: | 19101 |
| Business Practice Address: | 340 4th Ave #9 Chula Vista, CA - 919103813 |
| Business Phone Number: | 6194269731 |
| Business Fax Number: | 6194269733 |
| Mailing Address: | 3935 Ocean View Blvd, SAN DIEGO |
| State: | CA |
| Postal Code: | 921131738 |
| Phone Number: | 7604035290 |
| Fax Number: | 6198765030 |
| NPI Enumeration Date: | 04/30/2010 |
| NPI Last Update Date: | 06/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19101 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |