Provider Demographics
NPI:1164780649
Name:CASANADA, EDWINA API (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:EDWINA
Middle Name:API
Last Name:CASANADA
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8540 CAPRICORN WAY UNIT 72
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-7804
Mailing Address - Country:US
Mailing Address - Phone:858-437-7832
Mailing Address - Fax:
Practice Address - Street 1:8540 CAPRICORN WAY UNIT 72
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-7804
Practice Address - Country:US
Practice Address - Phone:858-437-7832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA760496163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology