Provider Demographics
NPI:1467881847
Name:CADIENHEAD, DARIAN (LPN)
Entity Type:Individual
Prefix:
First Name:DARIAN
Middle Name:
Last Name:CADIENHEAD
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 1:3423 WICKHAM AVE
Mailing Address - Street 2:2ND FL
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-2759
Mailing Address - Country:US
Mailing Address - Phone:718-808-2734
Mailing Address - Fax:
Practice Address - Street 1:3423 WICKHAM AVE
Practice Address - Street 2:2ND FL
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-2759
Practice Address - Country:US
Practice Address - Phone:718-808-2734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301749-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse