Provider Demographics
NPI:1992792832
Name:CADET, NYRVA S (CRNA)
Entity type:Individual
Prefix:
First Name:NYRVA
Middle Name:S
Last Name:CADET
Suffix:
Gender:
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11260 VEDRINES DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7398
Mailing Address - Country:US
Mailing Address - Phone:770-667-9215
Mailing Address - Fax:770-667-9215
Practice Address - Street 1:11260 VEDRINES DR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-7398
Practice Address - Country:US
Practice Address - Phone:770-667-9215
Practice Address - Fax:770-667-9215
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN170931367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered