Provider Demographics
NPI:1659858116
Name:CADMAN, YVONNE RENEE (ARNP)
Entity Type:Individual
Prefix:
First Name:YVONNE
Middle Name:RENEE
Last Name:CADMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:RENEE
Other - Last Name:EBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:2020 43RD AVE E APT 17
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-2753
Mailing Address - Country:US
Mailing Address - Phone:540-446-4957
Mailing Address - Fax:
Practice Address - Street 1:5580 CALLE REAL
Practice Address - Street 2:
Practice Address - City:GOLETA
Practice Address - State:CA
Practice Address - Zip Code:93111-1646
Practice Address - Country:US
Practice Address - Phone:805-617-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60557814171M00000X
CA95027939363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN60557814OtherWASHINGTON STATE DEPARTMENT OF HEALTH RN LICENSE