Individual
CASSIE DEANN PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 221-4286
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
(207) 662-6236
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN88398
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
128066
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA243064
ME
Other
Enumeration date
06/17/2020
Last updated
03/30/2026
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