Individual
CASSIDY LORRAINE DUCRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4824 E BASELINE RD STE 129, MESA, AZ 85206-4679
(480) 644-1001
(480) 464-8722
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
288504
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
TEMP288504
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016545
—
AZ
01
—
TEMP288504
FNP LICENSE
AZ
Enumeration date
02/28/2023
Last updated
04/07/2025
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