Individual
CASSADY J CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1407 WILLIAMS RD, YORK, PA 17402-9000
(717) 851-6340
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP027701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104195127
—
PA
Enumeration date
06/13/2023
Last updated
12/12/2024
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