Doctor Name: | SADIE VERNELL CANO |
NPI Number: | 1194075382 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN00177029 |
Business Practice Address: | 19 Lakes St. Nespelem, WA - 991550071 |
Business Phone Number: | 5096342913 |
Business Fax Number: | 5096342904 |
Mailing Address: | 19 Lakes St., NESPELEM |
State: | WA |
Postal Code: | 991550071 |
Phone Number: | 5096342913 |
Fax Number: | 5096342904 |
NPI Enumeration Date: | 09/14/2012 |
NPI Last Update Date: | 09/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | RN00177029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |