Healthcare Provider Details

I. General information

NPI: 1245966118
Provider Name (Legal Business Name): CASSANDRA HARTELL DNP, CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2022
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 OLDE WATERFORD WAY STE 1C
LELAND NC
28451-4168
US

IV. Provider business mailing address

1627 PINE HARBOR WAY
LELAND NC
28451-5501
US

V. Phone/Fax

Practice location:
  • Phone: 910-834-2240
  • Fax:
Mailing address:
  • Phone: 919-889-7584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM204
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number5016593
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: