MEDICARE: CYNTHIANNA CASS CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	ARNP9169227	FL

General Provider Information

NPI Number	:	1538187844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIANNA CASS CRNA

Provider Business Mailing Address
First Line	:	23242 CITRUS VALLEY RD
Second Line	:
City	:	HOWEY IN THE HILLS
State	:	FL
Zip	:	34737-4139
Country	:	US
Telephone Number	:	321-794-1182
Fax Number	:	352-324-2194

Provider Business Practice Location Address
First Line	:	23242 CITRUS VALLEY RD
Second Line	:
City	:	HOWEY IN THE HILLS
State	:	FL
Zip	:	34737-4139
Country	:	US
Telephone Number	:	321-794-1182
Fax Number	:	352-324-2194

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	01/08/2009

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