Provider Demographics
NPI:1265686034
Name:CADY, DANIELLE H (DNP, ACNP-BC, APRN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:H
Last Name:CADY
Suffix:
Gender:F
Credentials:DNP, ACNP-BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WALTON GULF VIEW DR
Mailing Address - Street 2:
Mailing Address - City:SEACREST
Mailing Address - State:FL
Mailing Address - Zip Code:32461-7123
Mailing Address - Country:US
Mailing Address - Phone:251-776-3626
Mailing Address - Fax:
Practice Address - Street 1:350 REDSTONE AVE W
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-6433
Practice Address - Country:US
Practice Address - Phone:850-689-1740
Practice Address - Fax:850-682-6652
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9195747363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner