Carr, Cassidy Alana

Carr, Cassidy Alana is an sole proprietor health care provider with primary practice located at 625 Court Street , Sioux City IA 51101-1919. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Carr, Cassidy Alana can be contacted via phone (712) 252-3871.

Contact Information

Primary practice address
625 Court Street Sioux City IA 51101-1919
Phone: (712) 252-3871
Fax: (712) 252-3157
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 127714 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X G159688 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X G159688 Iowa

Profile Details

NPI number 1871052472
LBN Legal business name Carr, Cassidy Alana
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2019
Last updated Jun 1st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871052472 NPPES
Iowa MEDICAID 127714

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