Cassity, Miranda Sue

Cassity, Miranda Sue is an individual health care provider with primary practice located at 1764 E. State Route 163 , Clinton IN 47842-7327. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Cassity, Miranda Sue can be contacted via phone (765) 820-2120.

Contact Information

Primary practice address
1764 E. State Route 163 Clinton IN 47842-7327
Phone: (765) 820-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71008253A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 71008253A Indiana

Profile Details

NPI number 1841772472
LBN Legal business name Cassity, Miranda Sue
Credentials AGACNP-BC, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2018
Last updated Mar 23rd, 2023 - about last year

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 1841772472 NPPES
Indiana Other 71008253A APN
Indiana Other 28198899A APN

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