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NPI Code Detail

MEDICARE: PATRICIA S CASSIDY

MEDICARE: PATRICIA S CASSIDY
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
1367500000XCertified Registered Nurse AnesthetistR002240OK

General Provider Information

NPI Number : 1629089438
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA S CASSIDY
Provider Business Mailing Address
First Line : 1111 N DEWEY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-2609
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1111 N DEWEY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73103-2609
Country : US
Telephone Number : 405-552-9245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/08/2007

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Directions to “ PATRICIA S CASSIDY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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