Provider Demographics
NPI:1013155258
Name:CADE, JONATHAN ASA (RN, MSN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:ASA
Last Name:CADE
Suffix:
Gender:M
Credentials:RN, MSN, FNP-C
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Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:3825 EUBANK BLVD NE
Mailing Address - Street 2:STE A
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3559
Mailing Address - Country:US
Mailing Address - Phone:505-292-8575
Mailing Address - Fax:505-292-8409
Practice Address - Street 1:3825 EUBANK BLVD NE
Practice Address - Street 2:STE A
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3559
Practice Address - Country:US
Practice Address - Phone:505-292-8575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA03615363LF0000X
NMCNP01942363LF0000X
OHRN259257163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse