Provider Demographics
NPI:1447672977
Name:CARDENAS, MICHELLE (ND)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:HANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:125 E DE LA GUERRA ST STE 103
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-2239
Mailing Address - Country:US
Mailing Address - Phone:805-560-1977
Mailing Address - Fax:855-710-4226
Practice Address - Street 1:125 E DE LA GUERRA ST STE 103
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2239
Practice Address - Country:US
Practice Address - Phone:805-560-1977
Practice Address - Fax:855-710-4226
Is Sole Proprietor?:No
Enumeration Date:2014-01-17
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND621175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath