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Cassandra Blackburn, RN

Registered Nurse in Glendale, AZ. Individual provider (NPI-1).

NPI number1033936620
StatusActive
Last updated in NPPESSep 24, 2024

Details

NPI
1033936620
Entity type
Individual (NPI-1)
Name
Cassandra Blackburn
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 24, 2024
Certification date
Sep 24, 2024
Last updated
Sep 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse240033AZYes

Practice location

4035 W Alameda Rd
Glendale, AZ 85310-3304

Phone 623-445-4700

Mailing address

20402 N 15th Ave
Phoenix, AZ 85027-3699

Phone 623-445-5000

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