Healthcare Provider Details

I. General information

NPI: 1609140383
Provider Name (Legal Business Name): MONICA M CADES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA MCNEILL

II. Dates (important events)

Enumeration Date: 02/28/2012
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 S FRONT ST
HARRISBURG PA
17104-1619
US

IV. Provider business mailing address

164 W MAIN ST
SILVERDALE PA
18962
US

V. Phone/Fax

Practice location:
  • Phone: 717-231-8349
  • Fax: 717-231-8756
Mailing address:
  • Phone: 215-258-3810
  • Fax: 215-258-3815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP011893
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: