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WANDA LEE CASSAVETTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
126 PIN OAK PL, CAMPBELL, OH 44405-1683
(330) 518-3174
Mailing address
PO BOX 746071, ATLANTA, GA 30374-6071
(312) 733-9730

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP-026196
OH
364SA2200X
Adult Health Clinical Nurse Specialist
COA-11658-NS
OH

Other

Enumeration date
06/29/2011
Last updated
05/03/2023
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