Ducray, Cassidy Lorraine

Ducray, Cassidy Lorraine is an individual health care provider with primary practice located at 1142 E Southern Ave , Mesa AZ 85204-5055. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ducray, Cassidy Lorraine can be contacted via phone (480) 821-3628.

Contact Information

Primary practice address
1142 E Southern Ave Mesa AZ 85204-5055
Phone: (480) 821-3628
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X TEMP288504 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 288504 Arizona

Profile Details

NPI number 1144929084
LBN Legal business name Ducray, Cassidy Lorraine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2023
Last updated Dec 29th, 2023 - 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 1144929084 NPPES
Arizona MEDICAID 016545
Arizona Other TEMP288504

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