Doctor Name: | LISA MARIE CADY |
NPI Number: | 1063751618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 544919 |
Business Practice Address: | 4800 Del Rio Rd Atascadero, CA - 934221543 |
Business Phone Number: | 8054611764 |
Business Fax Number: | |
Mailing Address: | 4800 Del Rio Rd, ATASCADERO |
State: | CA |
Postal Code: | 934221543 |
Phone Number: | 8054611764 |
Fax Number: | |
NPI Enumeration Date: | 02/01/2013 |
NPI Last Update Date: | 02/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WG0000X |
License Number: | 544919 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | General Practice |
Taxonomy Definition: |