Healthcare Provider Details
I. General information
NPI: 1679979546
Provider Name (Legal Business Name): VALERIE CADET R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/05/2014
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1611 NW 12TH AVE
MIAMI FL
33136-1005
US
IV. Provider business mailing address
1611 NORTHWEST 12TH AVENUE INSTITUTE BLDG RM 143
MIAMI FL
33136-1005
US
V. Phone/Fax
- Phone: 305-585-7590
- Fax: 305-585-7580
- Phone: 305-585-7590
- Fax: 305-585-7580
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WC0400X |
| Taxonomy | Case Management Registered Nurse |
| License Number | RN9272321 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: