Provider Demographics
NPI:1194232322
Name:CADIENTE, CHRISTELLE (LPN)
Entity type:Individual
Prefix:
First Name:CHRISTELLE
Middle Name:
Last Name:CADIENTE
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 1:52 WALTER AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-5343
Mailing Address - Country:US
Mailing Address - Phone:203-465-8932
Mailing Address - Fax:
Practice Address - Street 1:52 WALTER AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-5343
Practice Address - Country:US
Practice Address - Phone:203-465-8932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT413000164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty