MEDICARE: MS. CASSANDRA FREELAND CRNA

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	367500000X	Certified Registered Nurse Anesthetist	AP60307633	WA
2	367500000X	Certified Registered Nurse Anesthetist	103084	CT

General Provider Information

NPI Number	:	1760750509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CASSANDRA FREELAND CRNA

Provider Business Mailing Address
First Line	:	9856 21ST AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98106-2616
Country	:	US
Telephone Number	:	206-661-0524
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 N 34TH ST STE 101
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-8856
Country	:	US
Telephone Number	:	206-838-1777
Fax Number	:	206-838-1771

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

Provider Enumeration Date	:	12/08/2011
Last Update Date	:	12/03/2025

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