Ashton Taylor De Cardenas, PA-C
Physician Assistant, Surgical in Mount Vernon, WA. Individual provider (NPI-1).
NPI number1033688981
StatusActive
Last updated in NPPESOct 25, 2021
Details
- NPI
- 1033688981
- Entity type
- Individual (NPI-1)
- Name
- Ashton Taylor De Cardenas
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2018
- Certification date
- Oct 25, 2021
- Last updated
- Oct 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA60980474 | WA | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA.0005568 | CO |
Practice location
2320 Freeway DrMount Vernon, WA 98273
Phone 360-814-6800 · Fax 360-814-6953
Mailing address
1400 E Kincaid StMount Vernon, WA 98274-4127
Phone 360-814-6800
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