Provider Demographics
NPI:1063867059
Name:CADY, LINDA (LPN)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:CADY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 S SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:KIRKWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:13795-1411
Mailing Address - Country:US
Mailing Address - Phone:607-759-7564
Mailing Address - Fax:
Practice Address - Street 1:32 S SUNSET DR
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:NY
Practice Address - Zip Code:13795-1411
Practice Address - Country:US
Practice Address - Phone:607-759-7564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258319-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse