Individual
CASSANDRA ROSE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
653 156TH AVE NE, BELLEVUE, WA 98007-4823
(206) 744-5846
Mailing address
653 156TH AVE NE, BELLEVUE, WA 98007-4823
(206) 744-5846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00168481
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60200008
WA
Other
Enumeration date
01/23/2008
Last updated
05/03/2021
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