person
Mr. Randall L Cassidy, CNP
Adult Health Nurse Practitioner in Elyria, Ohio
NPI 1629229539

Randall L Cassidy is an Adult Health Nurse Practitioner based in Cincinnati, OH and is specialized in Adult Health. Randall L Cassidy practices in Elyria, OH and has the professional credentials of CNP. The NPI Number for Randall L Cassidy is 1629229539 and holds a License No. 258009 (Ohio).

The current practice location address for Randall L Cassidy is 1120 E Broad St, Elyria, OH and can be reached out via phone at 440-365-2239 and via fax at 440-365-1366.

Location: 1120 E Broad St, Elyria, OH, 45263-6643
person
Provider Profile Details
NPI Number
1629229539
Provider Name
Randall L Cassidy
Credential
CNP
Provider Entity Type
Individual
Gender
Male
Address
1120 E Broad St, Elyria, OH, 45263-6643
Phone Number
440-365-2239
Fax Number
440-365-1366
Provider Enumeration Date
10/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0236248 05 OH
11937343 01 OH CAQH
2914234 05 OH
3025372 05 OH
institution
Provider Business Practice Location Address Details
Address
1120 E Broad St
City
State
Zip
44035-6306
Phone Number
440-365-2239
Fax Number
440-365-1366
person
Provider Business Mailing Address Details
Address
1120 E Broad St
City
State
Zip
44035-6306
Phone Number
440-365-2239
Fax Number
440-365-1366
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
258009 (Ohio)
Definition
Definition to come...
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