Doctor Name: | CARLEENE JANICE CADY |
NPI Number: | 1063422954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | NP 4345 |
Business Practice Address: | 5176 Hill Road E. Lakeport, CA - 954536300 |
Business Phone Number: | 7072625000 |
Business Fax Number: | |
Mailing Address: | P.o. Box 12289, WESTMINSTER |
State: | CA |
Postal Code: | 926852289 |
Phone Number: | 8778186101 |
Fax Number: | |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP 4345 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |