Provider Demographics
NPI:1396632741
Name:CALCADA, KAREN JANEIRO (CNA)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:JANEIRO
Last Name:CALCADA
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 LADYSLIPPER ST SW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32908-4834
Mailing Address - Country:US
Mailing Address - Phone:347-345-7741
Mailing Address - Fax:
Practice Address - Street 1:571 LADYSLIPPER ST SW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32908-4834
Practice Address - Country:US
Practice Address - Phone:347-345-7741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL439205376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide