Cassandra Sage Bluff, RN

Individual provider Active NPI Wound Care Registered Nurse · Baldwinsville, NY

NPI 1144686338 · NPPES record last updated Jan 5, 2016

Key facts

NPI
1144686338
Entity type
Individual (NPI type 1)
Primary specialty
Wound Care Registered Nurse 163WW0000X
License
495075 (NY)
Practice address
29 East Oneida St
Elden Elementary Health Office
Baldwinsville, NY 13027
Phone
(315) 638-6120
Fax
(315) 638-6171
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
495075NYMDWound Care Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 495075 NY Yes

Addresses

Primary practice location

29 East Oneida St
Elden Elementary Health Office
Baldwinsville, NY 13027

Mailing address

29 East Oneida St
Elden Elementary Health Office
Baldwinsville, NY 13027
Phone (315) 638-6120

Other providers in Baldwinsville, NY

All providers in Baldwinsville, NY · Wound Care Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.