Individual
CASSANDRA N SHEETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 807-1262
(317) 859-4268
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 807-1262
(317) 859-4268
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001234A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000767725
BLUE CROSS ANTHEM
IN
Enumeration date
02/14/2012
Last updated
03/06/2015
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