Individual provider · NPI-1
Cassandra Lee Anderson, CPNP
Nurse Practitioner, Pediatrics · Madera, CA
NPI number1306274568
StatusActive
Last updated in NPPESOct 28, 2013
Details
- NPI
- 1306274568
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Cassandra Lee Anderson
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2013
- Last updated
- Oct 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 23418 | CA | Yes |
| 163WP0200X | Registered Nurse, Pediatrics | 731933 | CA |
Practice location
9300 Valley Childrens PlMadera, CA 93636-8761
Phone 559-353-5550 · Fax 559-353-5587
Mailing address
9300 Valley Childrens PlSe14
Madera, CA 93636-8761
Phone 559-353-5550 · Fax 559-353-5587
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