Individual
MS. CASSANDRA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3301 KILDARE RD, CLEVELAND HEIGHTS, OH 44118-2932
(216) 397-1201
(216) 927-3746
Mailing address
3301 KILDARE RD, CLEVELAND HEIGHTS, OH 44118-2932
(216) 397-1201
(216) 927-3746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.193622
OH
163WC0200X
Critical Care Medicine Registered Nurse
RN.193622
OH
163WG0600X
Gerontology Registered Nurse
RN.193622
OH
163WM0705X
Medical-Surgical Registered Nurse
RN.193622
OH
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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