Cassel, Krista M
Cassel, Krista M is an individual health care provider with primary practice located at 500 Brookstone Centre Parkway #100, Columbus GA 31904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cassel, Krista M can be contacted via phone (706) 221-4602.Contact Information
Primary practice address
500 Brookstone Centre Parkway #100
Columbus GA 31904
Phone: (706) 221-4602
Fax: (706) 221-4620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN247812 | Georgia |
Profile Details
| NPI number | 1386026573 |
|---|---|
| LBN Legal business name | Cassel, Krista M |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2015 |
| Last updated | Apr 19th, 2022 - about 4 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 | 1386026573 | NPPES |
| Georgia | MEDICAID | 003162152H |
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