| Victoria Cardona, | |
|
3000 N Triumph Blvd, Lehi, UT 84043-4999 | |
| (916) 833-4226 | |
| Not Available |
| Full Name | Victoria Cardona |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3000 N Triumph Blvd, Lehi, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780133082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9883130-4406 (Utah) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Cardona, 1181 E Hudson Ave, Salt Lake City, UT 84106-2657 Ph: (916) 833-4226 | Victoria Cardona, 3000 N Triumph Blvd, Lehi, UT 84043-4999 Ph: (916) 833-4226 |
Mr. Clive James Thirkill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Benjamin C Gerun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 | |
Daniel Cruttenden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3340 N Center St # 800, Lehi, UT 84043 Phone: 801-990-1910 | |
Jenna Veronica Mcrae, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Jonathan D Mann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Mr. Timothy I Macnair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 Fax: 770-701-6676 | |
Joseph Richard Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 N Triumph Blvd, Lehi, UT 84043 Phone: 385-345-3000 |