Provider Demographics
NPI:1114486867
Name:CADY, MARTHA VALDERINA (NURSE CASE MANAGER)
Entity Type:Individual
Prefix:MS
First Name:MARTHA
Middle Name:VALDERINA
Last Name:CADY
Suffix:
Gender:F
Credentials:NURSE CASE MANAGER
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Mailing Address - Street 1:MAMC 9040 FITZSIMMONS DRIVE ST
Mailing Address - Street 2:
Mailing Address - City:JOINT BASE LEWIS MCCHORD
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1100
Mailing Address - Country:US
Mailing Address - Phone:253-968-0250
Mailing Address - Fax:253-968-6026
Practice Address - Street 1:MAMC 9040 JACKSON AVE
Practice Address - Street 2:
Practice Address - City:JOINT BASE LEWIS MCCHORD
Practice Address - State:WA
Practice Address - Zip Code:98431-1100
Practice Address - Country:US
Practice Address - Phone:253-968-0250
Practice Address - Fax:253-968-6026
Is Sole Proprietor?:No
Enumeration Date:2019-03-12
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WARN00142742163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management