Healthcare Provider Details

I. General information

NPI: 1629540927
Provider Name (Legal Business Name): CADIAN NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2018
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 14TH ST STE 900
OAKLAND CA
94612-1468
US

IV. Provider business mailing address

505 14TH ST STE 900
OAKLAND CA
94612-1468
US

V. Phone/Fax

Practice location:
  • Phone: 510-606-8087
  • Fax:
Mailing address:
  • Phone: 510-606-8087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CINDY DEBORAH LEE
Title or Position: NP
Credential:
Phone: 646-369-5105