| Doctor Name: | KRISTY CARDOZA |
| NPI Number: | 1790152973 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 9484112-4405 |
| Business Practice Address: | 3665 S 8400 W Ste 110 Magna, UT - 840444907 |
| Business Phone Number: | 8012509638 |
| Business Fax Number: | |
| Mailing Address: | 2121 S Wellington St, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841064116 |
| Phone Number: | 9784575992 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2015 |
| NPI Last Update Date: | 08/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 9484112-4405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |