Individual
CASSANDRA ANN BACASSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8820
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212245
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
212245
NC
Other
Enumeration date
07/25/2010
Last updated
11/07/2010
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