Fife, Cassandra

Fife, Cassandra is an individual health care provider with primary practice located at 6 Westport Ct , Bloomington IL 61704-8233. 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. Fife, Cassandra can be contacted via phone (309) 722-4020.

Contact Information

Primary practice address
6 Westport Ct Bloomington IL 61704-8233
Phone: (309) 722-4020
Fax: (309) 740-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 2090258848 Illinois

Profile Details

NPI number 1013639376
LBN Legal business name Fife, Cassandra
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2022
Last updated Sep 14th, 2022 - about 3 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 1013639376 NPPES
Illinois Other 209025884 ADVANCED PRACTICE REGISTERED NURSE LICENSE

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