Kassandra Hyde, APRN
Clinical Nurse Specialist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1003689720
StatusActive
Last updated in NPPESNov 3, 2023
Details
- NPI
- 1003689720
- Entity type
- Individual (NPI-1)
- Name
- Kassandra Hyde
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2023
- Certification date
- Nov 3, 2023
- Last updated
- Nov 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | 299655 | AZ | Yes |
Practice location
5777 E Mayo BlvdPhoenix, AZ 85054-4502
Phone 480-342-3962
Mailing address
4147 W Crocus DrPhoenix, AZ 85053-5314
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