MEDICARE: MS. CASSANDRA ARLETTE WINGFIELD LPN

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	164W00000X	Licensed Practical Nurse	PN 049081	OH

General Provider Information

NPI Number	:	1952683195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CASSANDRA ARLETTE WINGFIELD LPN

Provider Business Mailing Address
First Line	:	23407 FELCH ST
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5219
Country	:	US
Telephone Number	:	216-386-0339
Fax Number	:

Provider Business Practice Location Address
First Line	:	23407 FELCH ST
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44128-5219
Country	:	US
Telephone Number	:	216-386-0339
Fax Number	:

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

Provider Enumeration Date	:	09/14/2011
Last Update Date	:	04/12/2026

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