Provider Demographics
NPI:1952293391
Name:KADI, DZEJLANA (FNP-C)
Entity type:Individual
Prefix:
First Name:DZEJLANA
Middle Name:
Last Name:KADI
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:LACKAWANNA
Mailing Address - State:NY
Mailing Address - Zip Code:14218-2025
Mailing Address - Country:US
Mailing Address - Phone:716-475-4225
Mailing Address - Fax:
Practice Address - Street 1:98 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:LACKAWANNA
Practice Address - State:NY
Practice Address - Zip Code:14218-2025
Practice Address - Country:US
Practice Address - Phone:716-475-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY357352363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily