Individual
MR. CASSIDY ALEXANDER FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP
Contact information
Practice address
2602 QUARRY LAKE DR, COLUMBUS, OH 43204-4950
(740) 977-8134
Mailing address
1687 QUARRY TRCE, COLUMBUS, OH 43204-4944
(740) 977-8134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0026827
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417319
—
OH
Enumeration date
06/09/2020
Last updated
02/21/2025
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