Cassie Barczak
Individual provider Active NPI Licensed Practical Nurse · Conneaut, OH
NPI 1043696644 · NPPES record last updated Dec 18, 2015
Key facts
- NPI
- 1043696644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN.145513-M-IV (OH)
- Practice address
- 976 Broad St
Conneaut, OH 44030-1556 - Phone
- (440) 599-2620
- NPI assigned
- Aug 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN.145513-M-IV | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN.145513-M-IV | OH | Yes |
Addresses
Primary practice location
976 Broad St
Conneaut, OH 44030-1556
Mailing address
976 Broad St
Conneaut, OH 44030-1556
Other providers in Conneaut, OH
- Ashtabula County Residential Services
- Brett Askey
- Margaret Elizabeth Azzano
- Baker Family Counseling, LLC
- Karen Baker Baluch
- Lisa Bean
- Tracy Bidwell
- BMH Professional Corporation
- Brown Memorial Hospital
- Patricia Picard Brunot
All providers in Conneaut, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.