Individual
KASSANDRA HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-3962
Mailing address
4147 W CROCUS DR, PHOENIX, AZ 85053-5314
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
299655
AZ
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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