Healthcare Provider Details

I. General information

NPI: 1902494370
Provider Name (Legal Business Name): APRIL ROSE CASS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/01/2021
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 N PEARL ST
NORTH EAST PA
16428-1926
US

IV. Provider business mailing address

2060 N PEARL ST
NORTH EAST PA
16428-1926
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-7711
  • Fax: 814-877-7715
Mailing address:
  • Phone: 814-877-7711
  • Fax: 814-877-7715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP022659
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: