Doctor Name: | TAFFAE MAYONETTE CADEAU |
NPI Number: | 1295048338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R195009 |
Business Practice Address: | 700 Fettler Park Dumfries Health Center Dumfries, VA - 22025 |
Business Phone Number: | 7034417500 |
Business Fax Number: | 2022797316 |
Mailing Address: | 3700 Fettler Park, Dumfries Health Center DUMFRIES |
State: | VA |
Postal Code: | 22025 |
Phone Number: | 7034417500 |
Fax Number: | 2022797316 |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 04/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R195009 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |