Otero, Cassandra D.

Otero, Cassandra D. is an individual health care provider with primary practice located at 101 N 6Th St , Belen NM 87002-3605. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Otero, Cassandra D. can be contacted via phone (505) 317-7773.

Contact Information

Primary practice address
101 N 6Th St Belen NM 87002-3605
Phone: (505) 317-7773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-2006-0042 New Mexico

Profile Details

NPI number 1245419985
LBN Legal business name Otero, Cassandra D.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Dec 9th, 2019 - 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 1245419985 NPPES
New Mexico Other PA-2006-0042 LICENSE NUMBER

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