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NPI Code Detail

MEDICARE: CASSANDRA GOTAY CRNA

MEDICARE:   CASSANDRA  GOTAY  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
1367500000XCertified Registered Nurse Anesthetist4052928KY
2367500000XCertified Registered Nurse Anesthetist317655AZ
3367500000XCertified Registered Nurse AnesthetistD185315IA
4367500000XCertified Registered Nurse AnesthetistAPRN11032878FL
5367500000XCertified Registered Nurse Anesthetist101846NE

General Provider Information

NPI Number : 1902646631
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA GOTAY CRNA
Provider Business Mailing Address
First Line : PO BOX 713350
Second Line :
City : CHICAGO
State : IL
Zip : 60677-1392
Country : US
Telephone Number : 502-588-9490
Fax Number : 502-272-5116
Provider Business Practice Location Address
First Line : 2601 E ROOSEVELT ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-4973
Country : US
Telephone Number : 602-344-5039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2024
Last Update Date : 04/07/2026

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