Individual
KACY-ANN CORDIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1400 ROCKLEDGE BLVD, ROCKLEDGE, FL 32955-2846
(321) 735-8960
Mailing address
1400 ROCKLEDGE BLVD, ROCKLEDGE, FL 32955-2846
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-38945
FL
363L00000X
Nurse Practitioner
Primary
APRN11044686
FL
Other
Enumeration date
06/14/2017
Last updated
05/01/2026
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