Individual provider · NPI-1
Michelle R. Cassell, CNS
Clinical Nurse Specialist, Adult Health · Albuquerque, NM
NPI number1699869495
StatusActive
Last updated in NPPESDec 4, 2009
Details
- NPI
- 1699869495
- Entity type
- Individual (NPI-1)
- Name
- Michelle R. Cassell
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2006
- Last updated
- Dec 4, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist, Adult Health | R31349 | NM | Yes |
| 163WX1500X | Registered Nurse, Ostomy Care | R31349 | NM | |
| 163WW0000X | Registered Nurse, Wound Care | R31349 | NM |
Practice location
Phs Wound Clinic5901 Harper Drive Ne
Albuquerque, NM 87109
Phone 505-823-8870 · Fax 505-823-8875
Mailing address
Po Box 26666Phs Provider Enrollment
Albuquerque, NM 87125-6666
Phone 505-923-5356 · Fax 505-923-5354
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