Individual
MS. AMY RUTH CASSOTTA
Active
Individual
MS. AMY RUTH CASSOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP61641168
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
F305407-1
NY
363LA2200X
Adult Health Nurse Practitioner
RN2288442
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02311659
—
NY
05
—
110118495A
—
MA
Enumeration date
02/24/2011
Last updated
03/05/2026
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