Provider Demographics
NPI:1881021467
Name:CADET, MANOUCHEKA (APRN)
Entity type:Individual
Prefix:
First Name:MANOUCHEKA
Middle Name:
Last Name:CADET
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13436 BOUVARDIA LN
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33981-3944
Mailing Address - Country:US
Mailing Address - Phone:845-803-5162
Mailing Address - Fax:
Practice Address - Street 1:2828 S MCCALL RD STE 21
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-9517
Practice Address - Country:US
Practice Address - Phone:941-290-5111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314634164W00000X
FLAPRN11036324363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No164W00000XNursing Service ProvidersLicensed Practical Nurse