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NPI Code Detail

MEDICARE: CASSIE RENEE MEYNARD

MEDICARE: CASSIE RENEE MEYNARD
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
1163W00000XRegistered NurseRN144734LA

General Provider Information

NPI Number : 1932716156
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIE RENEE MEYNARD
Provider Business Mailing Address
First Line : 101A BUFFALO RUN
Second Line :
City : LAFAYETTE
State : LA
Zip : 70503-6605
Country : US
Telephone Number : 337-254-0828
Fax Number :
Provider Business Practice Location Address
First Line : 1100 BERTRAND DR # A
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-4110
Country : US
Telephone Number : 337-315-6474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2020
Last Update Date : 10/01/2020

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Directions to “ CASSIE RENEE MEYNARD ” Practice Location

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