Individual
CASSIDY MAE CRAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 540-6500
(805) 540-6501
Mailing address
PO BOX 15408, SAN LUIS OBISPO, CA 93406-5408
(805) 540-6501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95288239
CA
167G00000X
Licensed Psychiatric Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
10/10/2019
Last updated
01/05/2026
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