Provider Demographics
NPI:1174163794
Name:CADELUS, JOSIANNE (APRN)
Entity type:Individual
Prefix:
First Name:JOSIANNE
Middle Name:
Last Name:CADELUS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2722 COOPER WAY
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3414
Mailing Address - Country:US
Mailing Address - Phone:561-929-4887
Mailing Address - Fax:
Practice Address - Street 1:2722 COOPER WAY
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-3414
Practice Address - Country:US
Practice Address - Phone:561-929-4887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-11
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95024117363LF0000X
FL11004882363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty