Provider Demographics
NPI:1336698984
Name:CADET, ERNSTLYNE
Entity Type:Individual
Prefix:MISS
First Name:ERNSTLYNE
Middle Name:
Last Name:CADET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ERNSTLYNE
Other - Middle Name:
Other - Last Name:CADET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:11626 NE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6104
Mailing Address - Country:US
Mailing Address - Phone:954-203-1434
Mailing Address - Fax:
Practice Address - Street 1:11626 NE 2ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-6104
Practice Address - Country:US
Practice Address - Phone:954-203-1434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9310654363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily