By Dr. Alex Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST
Learn about non-pharmacological strategies to support your nervous system and improve overall health without medication.
Table of Contents
Panic attacks can feel like a sudden, overwhelming loss of control, transforming everyday activities like exercise or using a sauna into sources of intense fear. This post, written from my perspective as Dr. Alex Jimenez, DC, APRN, FNP-BC, CFMP, IFMCP, ATN, CCST, explores the neurophysiological roots of panic. We will explore why the nervous system can become “stuck” in a state of high alert, misinterpreting normal physiological arousal, such as an increased heart rate, as a life-threatening danger. This educational journey will explain how the brain’s alarm center, the amygdala, can trigger false alarms, leading to a hardwired panic response. We will present modern, evidence-based strategies to mechanically and biochemically rewire this circuitry. This includes specific breathwork techniques like the physiological sigh to reset the vagus nerve; targeted nutritional supplementation with agents like magnesium glycinate, L-theanine, and taurine to calm the nervous system; and advanced peptides such as Selank and BPC-157 to restore long-term resilience and repair the crucial gut-brain connection. Furthermore, we will outline a gradual exposure protocol for re-engaging with activities that trigger panic, teaching the brain to differentiate between arousal and genuine danger. This guide integrates principles from functional medicine and chiropractic neurology to offer a comprehensive, actionable roadmap for reclaiming control from panic and rebuilding a robust, resilient nervous system.
At Injury Medical Clinic PA (also known as Mission Plaza Injury Medical Clinic), we have cultivated a unique, powerful multidisciplinary environment designed to provide comprehensive care. I, Dr. Alex Jimenez, a Doctor of Chiropractic with advanced certifications as a Nurse Practitioner and in Functional Medicine, work closely with Dr. Maria Guadalupe Cardenas, MD. Dr. Cardenas is a highly respected, board-certified Internist with over four decades of clinical experience. She serves as our Medical Director and Collaborative Physician, providing essential medical oversight and enriching our patient care protocols with her vast knowledge.
This integrative setup is foundational to our philosophy. It allows us to seamlessly blend the structural and neurological focus of chiropractic care with the diagnostic and systemic perspective of internal medicine. Dr. Cardenas’s medical direction ensures that all our treatment plans, especially those involving functional medicine, nutritional interventions, and complex cases like personal injury or chronic conditions, are medically sound, safe, and effective. Together, our team provides a spectrum of services, including:
This collaborative model ensures that when a patient comes to us with a complex issue like panic attacks, we can address it from multiple angles—from the structural integrity of the nervous system to the body’s biochemical balance— all under the watchful eye of experienced medical leadership.
Hello, I’m Dr. Alex Jimenez. A question I often encounter in my practice revolves around a deeply distressing experience: the sudden onset of panic attacks during activities that were once enjoyable, such as using a sauna or engaging in high-intensity exercise. A person might tell me, “I can’t even get into a sauna anymore. As soon as my heart rate goes up, I start to panic. I feel like something is broken.”
If this resonates with you, I want to start by saying something crucial: you are not broken. What you are experiencing is a physiological phenomenon, not a personal failing. Your nervous system has become stuck on red alert. It’s in a state of hypervigilance, constantly scanning for threats, and its threshold for what it perceives as a threat has become dangerously low.
Let’s break down what’s happening in your body. When you step into a sauna or start a cardio session, your heart rate naturally increases. This is a normal, healthy physiological response called arousal. Your body is simply adapting to the demand for more oxygen and blood flow. However, in your current state, your amygdala—the brain’s primitive alarm center—is making a critical error. The amygdala’s job is to protect you. It’s the part of your brain that triggers the “fight or flight” response when it detects danger. In your case, it has mistakenly associated the sensation of a rapid heartbeat with an imminent threat.
So, when your heart rate climbs, the amygdala doesn’t recognize it as a benign effect of heat or exercise. Instead, it interprets it as a sign that you are in mortal danger. It pulls the panic alarm. This triggers a massive cascade of stress hormones like adrenaline and cortisol, leading to the terrifying physical and psychological symptoms of a panic attack: a racing heart that feels like it will explode, shortness of breath, dizziness, sweating, and an overwhelming sense of doom. This is a false alarm, but to you, it feels completely real.
The core problem is that this false alarm system has become hardwired. Through a process called neuroplasticity, repeated panic experiences have strengthened the neural pathways between the sensation of an elevated heart rate and the amygdala’s panic response. Your brain has learned this association so well that it has become an automatic, reflexive reaction. The good news is that neuroplasticity works both ways. Just as these circuits were wired, they can be rewired. It takes deliberate effort and a multifaceted approach, but it is absolutely achievable. The journey to reclaiming your sense of safety and control is worth every step.
When you’re in the throes of a panic attack, your higher-level thinking brain, the prefrontal cortex, essentially goes offline. The amygdala hijacks your system. This is why you cannot outthink a panic attack. Trying to reason with yourself or use positive affirmations in that moment is like trying to have a calm, rational discussion with a fire alarm that is blaring at full volume. The alarm doesn’t understand language; it only understands signals that tell it to shut off.
Therefore, we must approach the problem mechanically, not just cognitively. We need to send direct, powerful signals to the nervous system to stand down. The most effective tool we have for this is our breath, specifically a technique validated by modern neuroscience known as the physiological sigh.
The physiological sigh is not just a deep breath; it is a specific breathing pattern our bodies instinctively use to regulate anxiety or distress. You may have noticed yourself doing this naturally after a good cry or when you’re finally relaxing after a stressful event. Stanford neuroscientist Dr. Andrew Huberman’s lab has extensively studied this and its profound effects on the nervous system (Huberman, 2023).
Here is the technique:
So, the pattern is: (Inhale sharply through the nose) -> (Inhale again, sharply) -> (Exhale slowly and fully through the mouth).
This simple action has a profound biological effect. It directly activates the vagus nerve, the main nerve of the parasympathetic nervous system, which is your body’s “rest and digest” or calming system. The vagus nerve runs from your brainstem down to your abdomen, innervating your heart, lungs, and digestive tract. When you slow your exhale, you send a signal directly to your heart via the vagus nerve to slow its rate. This is called the vagal brake.
At the same time, the double inhale and long exhale efficiently purge your body of excess carbon dioxide (CO2). During a panic attack, people often hyperventilate (breathe too quickly and shallowly), which paradoxically blows off too much CO2, changing the pH of the blood and leading to symptoms like dizziness and tingling. The physiological sigh helps restore the optimal balance of oxygen and CO2, further signaling to the brain that the crisis is over. It is a biological vagus nerve reset.
To begin rewiring your response to triggering activities, I recommend a structured protocol using the physiological sigh. Let’s use the sauna as an example:
This practice is not a one-time fix. It is a skill. By applying it consistently, you actively retrain your autonomic nervous system. You are teaching your amygdala to rely on a new, calming response instead of its old, panicked one.
Our discussion of breath control extends deeply into how you perform cardiovascular exercise. The way you breathe during cardio can either hypersensitize your nervous system to panic or build its resilience. The key distinction lies between nasal breathing and mouth breathing.
For someone prone to panic, mouth breathing during exercise is a significant problem. While it might feel like you’re getting more air, it triggers a cascade of physiological changes that prime you for anxiety. When you breathe through your mouth, you tend to take faster, shallower breaths. This leads to a rapid expulsion of carbon dioxide (CO2) from your bloodstream.
This might sound good, but it’s not. Your body needs a certain level of CO2 to function properly. CO2 is not just a waste product; it plays a critical role in oxygen delivery to your tissues, a phenomenon known as the Bohr effect. When CO2 levels drop too low (a state called hypocapnia), the hemoglobin in your red blood cells holds onto oxygen more tightly and doesn’t release it as efficiently to your brain and muscles. This can lead to feelings of lightheadedness, dizziness, and cognitive fog—symptoms that your anxious brain can easily misinterpret as the onset of a panic attack.
Furthermore, chronic mouth breathing lowers your CO2 tolerance. Your brain’s respiratory centers become hypersensitive to even small increases in CO2, which are a normal part of exercise. When you exercise, your muscles produce CO2. If your brain has a low tolerance for it, it will trigger a powerful, reflexive urge to breathe faster and harder, which can quickly spiral into the sensation of hyperventilation and breathlessness that defines a panic attack. In essence, low CO2 tolerance is a direct panic trigger.
The solution is to shift to nasal breathing only during your cardio sessions. Breathing through your nose forces you to breathe more slowly and deeply, using your diaphragm. This has several profound benefits:
For the next two to three weeks, commit to nasal breathing only during all your cardio. This means you will have to reduce your intensity. You will not be able to sprint or engage in max-effort intervals. The goal is not to set personal records; it’s to retrain your brain. You need to teach it, through experience, that the physiological state of arousal is not synonymous with danger. By keeping the arousal within a manageable, nasal-breathing-supported range, you create a new, safe association in your brain.
While mechanical techniques like breathwork are foundational, we must also address the underlying biochemistry of a nervous system stuck in overdrive. When your system is hypervigilant, it’s as if the “volume” on your neural circuits is turned all the way up. Every signal, even a minor one, feels loud and jarring. Your neurons are hyperexcitable. We can use targeted nutritional supplements to turn down this volume and create a buffer against panic.
Think of these supplements as your anti-panic anchors. They don’t just mask symptoms; they work at a cellular level to stabilize your neural and cardiac function. I recommend taking these three together about 30 minutes before any activity that could provoke panic, whether it’s a trip to the grocery store, a public speaking engagement, or your sauna session.
Magnesium is perhaps the single most important mineral for nervous system regulation. It acts as a natural calcium channel blocker. In your nervous system, calcium influx into a neuron causes it to fire an electrical signal. Magnesium sits in the channel and essentially guards the gate, preventing the neuron from firing too easily or excessively. In a state of magnesium deficiency, which is incredibly common in the modern world, there is nothing to oppose calcium’s excitatory action. Your neurons become hyperexcitable, firing at the slightest provocation. This is a primary driver of anxiety, muscle tension, and even cardiac arrhythmias.
Magnesium also plays a crucial role in NMDA receptor function, a key receptor for the excitatory neurotransmitter glutamate. Glutamate is the brain’s primary “on” switch. When you’re anxious, you have too much glutamate activity. Magnesium helps to dampen this over-activity, preventing the glutamate system from spiraling out of control.
I specifically recommend the glycinate form of magnesium. Magnesium is chelated (bound) to the amino acid glycine. Glycine itself is an inhibitory neurotransmitter—it acts as a calming agent in the brain. So, with magnesium glycinate, you get a one-two punch: the calming effect of magnesium and the additional inhibitory action of glycine. This form is also highly bioavailable and gentle on the digestive system, unlike other forms like magnesium oxide.
L-theanine is a remarkable amino acid found primarily in green tea. Its primary mechanism of action is to increase GABA (gamma-aminobutyric acid) levels in the brain (Nobre et al., 2008). GABA is your brain’s primary inhibitory neurotransmitter—it is the “off” switch. It’s the chemical that tells your neurons to stop firing. Many anti-anxiety medications, like benzodiazepines, work by enhancing the effects of GABA. L-theanine provides a natural, non-addictive way to achieve a similar, albeit more subtle, effect.
By boosting GABA, L-theanine helps to counteract the excessive glutamate activity that drives anxiety. It promotes a state of “alert calm,” where you feel relaxed but not sedated or drowsy. It can quiet the mental chatter and racing thoughts that often accompany and fuel a panic attack. Furthermore, L-theanine can increase alpha-frequency brain waves, which are associated with relaxed wakefulness and creative focus.
Taurine is another amino acid with powerful protective effects on the nervous and cardiovascular systems. For someone experiencing panic, especially panic triggered by a rising heart rate, taurine is an indispensable tool. Its benefits are twofold:
By combining these three supplements, you are creating a robust biochemical shield. Magnesium calms your neurons, L-theanine boosts your brain’s primary “off” switch, and taurine stabilizes your heart and dampens the adrenaline surge. This synergistic combination provides a stable foundation from which you can begin retraining your brain.
While the supplements mentioned above are excellent for managing acute symptoms and providing immediate support, deep, long-term healing requires going a step further. We need to reboot the core systems that have been dysregulated by chronic stress and anxiety. In functional medicine, we often turn to bio-regulatory peptides for this purpose. Peptides are short chains of amino acids that act as signaling molecules in the body, telling cells and systems how to function. They can have incredibly precise and powerful effects.
For rebuilding resilience against panic, two peptides stand out for their remarkable efficacy and safety profiles: Selank and BPC-157.
Selank is a synthetic peptide originally developed in Russia. It is a true anxiolytic, meaning it reduces anxiety, but it does so without causing the sedation, drowsiness, or cognitive impairment associated with traditional anti-anxiety drugs. This makes it an incredibly valuable tool. It’s considered your best weapon for building long-term resilience.
Selank’s primary mechanism involves its interaction with the GABAergic system. Like L-theanine, it enhances the effects of GABA, the brain’s main calming neurotransmitter. However, Selank goes further. It modulates the expression of genes involved in the GABA system, leading to a more robust and efficient calming network over time. It doesn’t just provide a temporary boost; it helps to rebuild the entire infrastructure.
One of Selank’s most unique properties is its effect on Brain-Derived Neurotrophic Factor (BDNF). BDNF is a protein that acts like “fertilizer” for your brain cells. It promotes the growth, survival, and differentiation of neurons and encourages the formation of new synapses (connections between neurons). This is the very essence of neuroplasticity. By increasing BDNF in areas like the hippocampus and prefrontal cortex, Selank helps your brain learn new, non-anxious pathways more effectively (Uchakina et al., 2011). It helps you “unlearn” the fear response and “learn” a new response of safety and calm.
I recommend administering Selank as a nasal spray because this route delivers directly to the brain via the olfactory nerve, bypassing the digestive system and the blood-brain barrier. The timing is also important. Taking it no later than 4:00 PM is key. While it is not sedating, it can be so effective at quieting the mind that taking it in the morning might blunt the natural, healthy drive and motivation you need for your day. Administering it in the afternoon helps to smooth the transition into the evening, prevent late-day anxiety spikes, and set the stage for restful sleep, which is critical for nervous system repair.
The connection between your gut and your brain, known as the gut-brain axis, is a critical factor in anxiety and panic disorders. Your gut is often called your “second brain” for a good reason; it contains hundreds of millions of neurons and is in constant communication with your brain in your head, primarily via the vagus nerve.
When the gut is inflamed or “leaky” (a condition known as increased intestinal permeability), it sends distress signals up the vagus nerve directly to the amygdala, your brain’s alarm center. Think of the vagus nerve as a telegraph line. An inflamed gut constantly taps out S.O.S. messages, keeping your amygdala on high alert and lowering your threshold for panic. Your gut is literally telegraphing distress to your brain.
BPC-157, which stands for Body Protection Compound-157, is a peptide with extraordinary healing and regenerative properties, particularly for the gastrointestinal tract. It has been shown to:
By healing the gut, BPC-157 effectively seals the line of communication that is sending distress signals to your amygdala. It cuts off the constant stream of inflammatory messages, allowing your nervous system to calm down finally. A healthy gut provides a calm foundation for a healthy brain. Administering it twice a day ensures a steady supply of this regenerative compound to support continuous healing of the gut lining and the entire gut-vagal connection.
Finally, we need to address systemic inflammation. Chronic stress, poor diet, environmental toxins, and underlying infections can all contribute to low-grade, body-wide inflammation. This inflammation acts as a background “noise” that lowers the threshold of your entire nervous system. It makes your neurons more irritable and more likely to fire in response to a stimulus. Think of it as static on a radio; the static makes it harder to hear the clear signal.
KPV is a peptide fragment derived from alpha-melanocyte-stimulating hormone (α-MSH). It is one of the most potent anti-inflammatory agents known. It works by inhibiting inflammatory pathways within the cell, such as NF-κB (Nuclear Factor-kappa B), which is a master switch for the inflammatory response (Brzoska et al., 2008).
By taking KPV daily, you are actively working to knock out this systemic inflammation. You are quieting the background static, which in turn raises your nervous system’s threshold for activation. It makes your entire system more robust and less susceptible to minor provocations that could trigger panic. It creates a cellular environment of calm and stability.
Combining Selank, BPC-157, and KPV creates a powerful, synergistic trio that reboots your body’s core regulatory systems. They rebuild your brain’s calming infrastructure, heal the gut-brain axis, and quell the systemic inflammation that keeps your nervous system on edge. This is the foundation for lasting resilience.
The final and perhaps most crucial piece of this puzzle is behavioral. You cannot simply think or supplement your way out of a hardwired panic response. You must actively, physically, and methodically teach your brain that arousal is not danger. You do this through gradual, controlled exposure.
The mistake many people make is trying to go from zero to one hundred. They feel a bit better, so they jump right back into a 60-minute, high-intensity workout or a 25-minute sauna session. Inevitably, their heart rate skyrockets, the old panic circuit fires, and they have a massive setback that reinforces their fear.
You must be more strategic. We will apply the principles of progressive overload, a concept borrowed from strength training, to your nervous system.
This entire process is an active dialogue with your nervous system. Each successful, panic-free session is a vote of confidence. It’s a piece of evidence you are presenting to your amygdala that says, “See? My heart rate went up, but I was safe. I was in control.” Over time, the weight of this new evidence becomes overwhelming, and the old, faulty panic circuit begins to weaken and atrophy. The new circuit of safety and resilience becomes the dominant, default pathway. This is how you reclaim your life from panic—not by avoiding triggers, but by methodically and intelligently re-engaging with them on your own terms.
In our practice, we see the body as an interconnected whole, and the principles of integrative chiropractic care are central to managing conditions like panic and anxiety. The connection between spinal health and nervous system function is profound and often overlooked in conventional treatment models.
The autonomic nervous system (ANS), which is composed of the sympathetic (“fight or flight”) and parasympathetic (“rest and digest”) branches, is the master regulator of your body’s response to stress. The nerves that make up the ANS exit the spinal cord and travel to every organ and gland in your body. Misalignments in the spine, which we call vertebral subluxations, can create physical irritation and interference with these delicate nerves.
Think of your spine as the primary conduit for information between your brain and your body. If there are blockages or “kinks” in this conduit, the signals can become distorted. A subluxation, particularly in the upper cervical (neck) or upper thoracic (mid-back) regions, can create a state of chronic, low-grade irritation to the sympathetic nervous system. This can effectively “lock” your body into a sympathetic-dominant state, the very state of red alert that characterizes anxiety and panic disorders. The background noise of this nerve irritation means your baseline level of stress is already elevated, making you far more susceptible to being pushed over the edge into panic.
Chiropractic adjustments are precise, gentle forces applied to the spine to correct these subluxations and restore proper motion and alignment. By doing so, we can:
By integrating chiropractic care into your overall treatment plan, we address the structural and neurological foundation of your health. We ensure that the communication highway between your brain and body is clear and free of interference. This structural work, combined with the biochemical support from functional medicine and the mechanical retraining through breathwork and gradual exposure, creates a truly holistic and powerfully effective strategy for overcoming panic and rebuilding a resilient, thriving nervous system. Under the comprehensive medical direction of Dr. Cardenas, this multifaceted approach ensures every aspect of your health is addressed safely and in a coordinated manner.
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General Disclaimer, Licenses and Board Certifications *
Professional Scope of Practice *
The information herein on "Non-Pharmacological Strategies Guide for The Nervous System" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
Blog Information & Scope Discussions
Welcome to El Paso's Premier Wellness and Injury Care Clinic & Wellness Blog, where Dr. Alex Jimenez, DC, FNP-C, a Multi-State board-certified Family Practice Nurse Practitioner (FNP-BC) and Chiropractor (DC), presents insights on how our multidisciplinary team is dedicated to holistic healing and personalized care. Our practice aligns with evidence-based treatment protocols inspired by integrative medicine principles, similar to those on this site and on our family practice-based chiromed.com site, focusing on naturally restoring health for patients of all ages.
Our areas of multidisciplinary practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols.
Our information scope is multidisciplinary, focusing on musculoskeletal and physical medicine; wellness; contributing etiological viscerosomatic disturbances within clinical presentations; associated somato-visceral reflex clinical dynamics; subluxation complexes; sensitive health issues; and functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and licensure jurisdiction. We use functional health & wellness protocols to treat and support care for musculoskeletal injuries or disorders.
Our videos, posts, topics, and insights address clinical matters and issues that directly or indirectly relate to our clinical scope of practice.
Our office has made a reasonable effort to provide supportive citations and has identified relevant research studies that support our posts. We provide copies of supporting research studies upon request to regulatory boards and the public.
We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, please feel free to ask Dr. Alex Jimenez, DC, APRN, FNP-BC, or contact us at 915-850-0900.
We are here to help you and your family.
Blessings
Dr. Alex Jimenez DC, MSACP, APRN, FNP-BC*, CCST, IFMCP, CFMP, ATN
email: coach@elpasofunctionalmedicine.com
Multidisciplinary Licensing & Board Certifications:
Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License #: TX5807, Verified: TX5807
New Mexico DC License #: NM-DC2182, Verified: NM-DC2182
Multi-State Advanced Practice Registered Nurse (APRN*) in Texas & Multi-States
Multi-state Compact APRN License by Endorsement (42 States)
Texas APRN License #: 1191402, Verified: 1191402 *
New Mexico CNP License#: 90560, Verified
Florida APRN License #: 11043890, Verified: APRN11043890 *
Colorado License #: C-APN.0105610-C-NP, Verified: C-APN.0105610-C-NP
New York License #: N25929, Verified N25929
License Verification Link: Nursys License Verifier
* Prescriptive Authority Authorized
ANCC FNP-BC: Board Certified Nurse Practitioner*
Compact Status: Multi-State License: Authorized to Practice in 40 States*
Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
Degree Granted. Master's in Family Practice MSN Diploma (Cum Laude)
Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
(Board Certified: Family Practice Nurse Practitioner—Multistate)*
(Licensed Nurse Practitioner & Chiropractor - Multistate)*
Clinical Director
Digital Business Card
Dr. Maria Cardenas, MD
(Board Certified: Internal Medicine)
(Licensed Medical Doctor)
Medical Director, Clinical Director & Collaborative Physician
NPI # 1164426749
MD License #: J2933
Licenses and Board Certifications:
MD: Medical Doctor
DC: Doctor of Chiropractic
APRNP: Advanced Practice Registered Nurse
FNP-BC: Family Practice Specialization (Multi-State Board Certified)
RN: Registered Nurse (Multi-State Compact License)
CFMP: Certified Functional Medicine Provider
MSN-FNP: Master of Science in Family Practice Medicine
MSACP: Master of Science in Advanced Clinical Practice
IFMCP: Institute of Functional Medicine
CCST: Certified Chiropractic Spinal Trauma
ATN: Advanced Translational Neutrogenomics
Memberships & Associations:
TCA: Texas Chiropractic Association: Member ID: 104311
AANP: American Association of Nurse Practitioners: Member ID: 2198960
ANA: American Nurse Association: Member ID: 06458222 (District TX01)
TNA: Texas Nurse Association: Member ID: 06458222
NPI: 1205907805
| Primary Taxonomy | Selected Taxonomy | State | License Number |
|---|---|---|---|
| No | 111N00000X - Chiropractor | NM | DC2182 |
| Yes | 111N00000X - Chiropractor | TX | DC5807 |
| Yes | 363LF0000X - Nurse Practitioner - Family | TX | 1191402 |
| Yes | 363LF0000X - Nurse Practitioner - Family | FL | 11043890 |
| Yes | 363LF0000X - Nurse Practitioner - Family | CO | C-APN.0105610-C-NP |
| Yes | 363LF0000X - Nurse Practitioner - Family | NY | N25929 |
| Yes | 363LF0000X - Nurse Practitioner - Family | NM | 90560 |
Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
(Board Certified: Family Practice Nurse Practitioner—Multistate)*
(Licensed Nurse Practitioner & Chiropractor - Multistate)*
Clinical Director
Digital Business Card
Dr. Maria Cardenas, MD
(Board Certified: Internal Medicine)*
(Licensed Medical Doctor)*
Medical Director, Clinical Director & Collaborative Physician
NPI # 1164426749
MD License #: J2933
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