Cassie Dora Craft, LPN
Individual provider Active NPI Licensed Practical Nurse · Bolivar, NY
NPI 1831481878 · NPPES record last updated May 10, 2011
Key facts
- NPI
- 1831481878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 257577-1 (NY)
- Practice address
- 82 Olive St
Bolivar, NY 14715-1310 - Phone
- (585) 928-1901
- NPI assigned
- May 10, 2011
- 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 |
|---|---|---|---|
| 257577-1 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 257577-1 | NY | Yes |
Addresses
Primary practice location
82 Olive St
Bolivar, NY 14715-1310
Mailing address
6712 Wiscoy Mills Mills Rd
Fillmore, NY 14735-8657
Phone (585) 356-7757
Other providers in Bolivar, NY
- Bolivar-Richburg Central School District
- McKayla Renee Boll
- Tyler L Brown
- Sarah Elizabeth Burdick
- Thomas G Caruso
- Tracie Dawn Edwards
- Ruth M Faust
- Katy M Gerrity
- Yuko Gilbert
- Victoria M Hefner
All providers in Bolivar, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2011. 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.