Healthcare Provider Details

I. General information

NPI: 1760750509
Provider Name (Legal Business Name): CASSANDRA FREELAND CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2011
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 N 34TH ST STE 101
SEATTLE WA
98103-8856
US

IV. Provider business mailing address

9856 21ST AVE SW
SEATTLE WA
98106-2616
US

V. Phone/Fax

Practice location:
  • Phone: 206-838-1777
  • Fax: 206-838-1771
Mailing address:
  • Phone: 206-661-0524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAP60307633
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number103084
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: