Individual
CASSIDY NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820
(603) 740-2676
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2880
NH
363A00000X
Physician Assistant
PA7453
MA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122940
—
NH
Enumeration date
06/09/2017
Last updated
10/02/2024
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