Individual
CASSIE ANN WELLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1065 S VIRGINIA ST, RENO, NV 89502-2417
(775) 364-3350
(775) 218-5636
Mailing address
1065 S VIRGINIA ST, RENO, NV 89502-2417
(775) 364-3350
(775) 218-5636
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1396
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12788722
CAQH ID #
NV
01
—
PA1396
PAC LIC #
NV
Enumeration date
02/09/2013
Last updated
04/02/2025
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