Individual
CASSANDRA NICOLE LIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 S SEACREST BLVD, BOYNTON BEACH, FL 33435-7969
(561) 292-4663
Mailing address
10968 NW 3RD ST, CORAL SPRINGS, FL 33071-8116
(954) 376-1709
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9463521
FL
Other
Enumeration date
06/19/2017
Last updated
07/05/2017
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