MEDICARE: CASSANDRA ELIZABETH SAAD FNP-C, APRN

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
1	363LF0000X	Family Nurse Practitioner	APN.0995968-NP	CO

General Provider Information

NPI Number	:	1508466855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA ELIZABETH SAAD FNP-C, APRN

Provider Business Mailing Address
First Line	:	4024 S RIFLE WAY
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80013-3240
Country	:	US
Telephone Number	:	815-590-1895
Fax Number	:

Provider Business Practice Location Address
First Line	:	4024 S RIFLE WAY
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80013-3240
Country	:	US
Telephone Number	:	815-590-1895
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	10/27/2020

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