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NPI Code Detail

MEDICARE: CASSIDY ELKINS APRN-CNP

MEDICARE:   CASSIDY  ELKINS  APRN-CNP
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
1363L00000XNurse Practitioner0041779OH

General Provider Information

NPI Number : 1265380653
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY ELKINS APRN-CNP
Provider Business Mailing Address
First Line : 9001 PORTAGE POINTE DR APT G115
Second Line :
City : STREETSBORO
State : OH
Zip : 44241-6301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 866-844-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2026
Last Update Date : 03/20/2026

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Directions to “ CASSIDY ELKINS APRN-CNP” Practice Location

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