Individual
CASSANDRA ERIKA HANIFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1461 W MORTHLAND DR STE A, VALPARAISO, IN 46385-6362
(219) 663-4007
(219) 663-4198
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015742A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300096309
—
IN
Enumeration date
08/20/2024
Last updated
09/24/2024
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