Individual
BROOKE M CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
575 O-G ROAD, SUITE 3, OTTAWA, OH 45875-9426
(419) 523-4449
(419) 523-6328
Mailing address
PO BOX 312, OTTAWA, OH 45875-0312
(419) 523-4449
(419) 523-6328
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
16231-NP
OH
Other
Enumeration date
07/25/2014
Last updated
12/09/2020
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