Selby, Cassandra Dawn

Selby, Cassandra Dawn is an individual health care provider with primary practice located at 2316 South St , Lafayette IN 47904-2971. 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. Selby, Cassandra Dawn can be contacted via phone (765) 742-1567.

Contact Information

Primary practice address
2316 South St Lafayette IN 47904-2971
Phone: (765) 742-1567
Fax: (765) 429-2700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 09000357A Indiana

Profile Details

NPI number 1639320641
LBN Legal business name Selby, Cassandra Dawn
Credentials RN, BSN, CNM, ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated May 9th, 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 1639320641 NPPES
Indiana MEDICAID 300045852

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