Individual
KIRSTYN SHEA CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5105 WOODMONT CIR, MACUNGIE, PA 18062-8590
(757) 660-7892
Mailing address
5105 WOODMONT CIR, MACUNGIE, PA 18062-8590
(757) 660-7892
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN691716
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN691716
RN LICENSE
PA
Enumeration date
07/11/2018
Last updated
07/11/2018
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