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NPI Code Detail

MEDICARE: CASSIDY MARIE MCAFEE

MEDICARE: CASSIDY MARIE MCAFEE
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
1363AM0700XMedical Physician Assistant10004660AIN
2363A00000XPhysician Assistant10004660AIN

General Provider Information

NPI Number : 1437977220
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIDY MARIE MCAFEE
Provider Business Mailing Address
First Line : 608 UNION CHAPEL RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-9357
Country : US
Telephone Number : 260-266-1000
Fax Number :
Provider Business Practice Location Address
First Line : 11109 PARKVIEW PLAZA DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number : 260-266-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2024
Last Update Date : 06/23/2026

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Directions to “ CASSIDY MARIE MCAFEE ” Practice Location

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