Individual
ELLEN CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15564 WESTCHESTER COMMONS WAY, MIDLOTHIAN, VA 23113-7321
(804) 440-4878
(804) 423-2451
Mailing address
8921 THREE CHOPT RD, SUITE 300, RICHMOND, VA 23229-4601
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005366
VA
Other
Enumeration date
02/29/2016
Last updated
01/04/2022
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