Provider Demographics
NPI:1053107664
Name:CARDENAS, JULIANA
Entity type:Individual
Prefix:
First Name:JULIANA
Middle Name:
Last Name:CARDENAS
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3953 WINONA WAY APT 4
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-4408
Mailing Address - Country:US
Mailing Address - Phone:712-509-7211
Mailing Address - Fax:
Practice Address - Street 1:1600 COMMERCE
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX
Practice Address - State:NE
Practice Address - Zip Code:68776
Practice Address - Country:US
Practice Address - Phone:402-494-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care