Cassidy, Rose Anne
Cassidy, Rose Anne is an individual health care provider with primary practice located at 1148 Broadway Ste 100 , Tacoma WA 98402-3518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cassidy, Rose Anne can be contacted via phone (253) 722-2161.Contact Information
Primary practice address
1148 Broadway Ste 100
Tacoma WA 98402-3518
Phone: (253) 722-2161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60005966 | Washington |
Profile Details
| NPI number | 1346218617 |
|---|---|
| LBN Legal business name | Cassidy, Rose Anne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Apr 16th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346218617 | NPPES |
| Other | P00633996 | RAILROAD MEDICARE | |
| MEDICAID | 9657255 | RAILROAD MEDICARE |
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