NPI 1588011928

Alicia Jean Cardona, PAC

Practitioner Physician Assistant Gooding, ID

Practice location

Address: 267 N Canyon Dr, Gooding, ID 83330-5500
Phone: (208) 934-4446
Fax: (208) 934-4442

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-1516 (ID)

Other Physician Assistant providers in Idaho →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1588011928
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 May 2016
Record last updated: 24 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.