Individual
BRANDI SUE CASSADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
520 VALLEY VIEW DR, MOLINE, IL 61265-6152
(309) 762-3621
(309) 762-3690
Mailing address
306 46TH AVE, EAST MOLINE, IL 61244-4281
(309) 796-2329
(309) 796-1146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003001
IL
363A00000X
Physician Assistant
IL
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99958
WELLMARK
IA
01
—
P00605023
MEDICARE RAILROAD
IL
Enumeration date
05/19/2006
Last updated
08/08/2022
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