Sharon L Cassidy, RN
Individual provider Active NPI Registered Nurse · Mount Orab, OH
NPI 1831482124 · NPPES record last updated May 19, 2011
Key facts
- NPI
- 1831482124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN260487 (OH)
- Practice address
- 119 Pine Ridge Ave
Mount Orab, OH 45154-8243 - Phone
- (937) 725-8432
- NPI assigned
- May 19, 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN260487 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN260487 | OH | Yes |
Addresses
Primary practice location
119 Pine Ridge Ave
Mount Orab, OH 45154-8243
Mailing address
119 Pine Ridge Ave
Mount Orab, OH 45154-8243
Phone (937) 725-8432
Other providers in Mount Orab, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 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.