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NPI Code Detail

MEDICARE: MISS MOLLY CASSADY RN

MEDICARE: MISS MOLLY CASSADY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0807XChild & Adolescent Psychiatric/Mental Health Registered NurseRN131742OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NS-03623OTHEROHCLINICAL NURSE SPECIALIST

General Provider Information

NPI Number : 1215152616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MOLLY CASSADY RN
Provider Business Mailing Address
First Line : 3435 TRASKWOOD CIR APT A
Second Line :
City : CINCINNATI
State : OH
Zip : 45208-1851
Country : US
Telephone Number : 513-558-5801
Fax Number :
Provider Business Practice Location Address
First Line : 311 ALBERT SABIN WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-2801
Country : US
Telephone Number : 513-558-5801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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Directions to “ MISS MOLLY CASSADY RN” Practice Location

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