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NPI Code Detail

MEDICARE: CASSANDRA CRANE

MEDICARE:   CASSANDRA  CRANE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1376932921
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA CRANE
Provider Business Mailing Address
First Line : 1775 N SECTOR CT STE 200
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-2859
Country : US
Telephone Number : 540-542-6208
Fax Number :
Provider Business Practice Location Address
First Line : 1775 N SECTOR CT STE 200
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-2859
Country : US
Telephone Number : 540-542-6208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2015
Last Update Date : 01/09/2026

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Directions to “ CASSANDRA CRANE ” Practice Location

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