Wendy L Cassidy, RN
Registered Nurse in Tuba City, AZ. Individual provider (NPI-1).
NPI number1861920795
StatusActive
Last updated in NPPESMay 23, 2017
Details
- NPI
- 1861920795
- Entity type
- Individual (NPI-1)
- Name
- Ms. Wendy L Cassidy
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2017
- Last updated
- May 23, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 041315590 | IL | Yes |
| 163W00000X | Registered Nurse | RN197628 | AZ | |
| 163W00000X | Registered Nurse | 201606Z95RN | OR |
Practice location
167 North Main StreetTuba City, AZ 86045-0600
Phone 928-283-2501 · Fax 928-283-2677
Mailing address
Po Box 600Pfs Business Office
Tuba City, AZ 86045-0600
Phone 928-283-2781 · Fax 928-283-2677
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