Distefano, Cassandra Kate

Distefano, Cassandra Kate is an individual health care provider with primary practice located at 9500 Euclid Ave , Cleveland OH 44195-3119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Distefano, Cassandra Kate can be contacted via phone (216) 445-4877.

Contact Information

Primary practice address
9500 Euclid Ave Cleveland OH 44195-3119
Phone: (216) 445-4877
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APRN.CNM.19363 Ohio

Profile Details

NPI number 1750626354
LBN Legal business name Distefano, Cassandra Kate
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2012
Last updated Oct 30th, 2018 - about 7 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 1750626354 NPPES
California MEDICAID 05-8957

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