Healthcare Provider Details
I. General information
NPI: 1215246780
Provider Name (Legal Business Name): CASANDRA B. GAFFNEY CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/01/2010
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 E MARSHALL ST STE 205
WEST CHESTER PA
19380-4453
US
IV. Provider business mailing address
600 E MARSHALL ST STE 205
WEST CHESTER PA
19380-4453
US
V. Phone/Fax
- Phone: 610-903-6200
- Fax:
- Phone: 610-903-6200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LX0001X |
| Taxonomy | Obstetrics & Gynecology Nurse Practitioner |
| License Number | SP010970 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: