Healthcare Provider Details

I. General information

NPI: 1376422964
Provider Name (Legal Business Name): CASSANDRA L GARBARINO BSN, RNC-OB
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 AMBASSADOR CAFFERY PKWY
LAFAYETTE LA
70508-6902
US

IV. Provider business mailing address

602 5TH ST
JENNINGS LA
70546-4810
US

V. Phone/Fax

Practice location:
  • Phone: 337-470-5500
  • Fax:
Mailing address:
  • Phone: 337-368-1421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number214302
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: