Individual
CATHY CASSUBE UNDERHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
911 S MAIN ST, TRENTON, FL 32693-3239
(352) 463-2374
(352) 463-4507
Mailing address
911 S MAIN ST, TRENTON, FL 32693-3239
(352) 463-2374
(352) 463-4507
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP2047432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02783600
—
FL
01
—
81528
BCBS
FL
01
—
EC338Z
MEDICARE PTAN
FL
Enumeration date
09/29/2010
Last updated
09/08/2011
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