Provider Demographics
NPI:1720167844
Name:CANTU, LADAWN N (RNCWHNP)
Entity Type:Individual
Prefix:
First Name:LADAWN
Middle Name:N
Last Name:CANTU
Suffix:
Gender:F
Credentials:RNCWHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 GLISTENING SPGS
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-8026
Mailing Address - Country:US
Mailing Address - Phone:214-244-8260
Mailing Address - Fax:
Practice Address - Street 1:901 ROCKWALL PKWY
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6502
Practice Address - Country:US
Practice Address - Phone:972-772-3234
Practice Address - Fax:972-772-3834
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX551701363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health