Provider Demographics
NPI:1043737364
Name:MURAY, CASSSANDRA ALANE
Entity Type:Individual
Prefix:MS
First Name:CASSSANDRA
Middle Name:ALANE
Last Name:MURAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2814 RIVIERA DR APT D
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3447
Mailing Address - Country:US
Mailing Address - Phone:330-957-6220
Mailing Address - Fax:
Practice Address - Street 1:308 PLEASANT MEADOW BLVD APT C
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44224-4984
Practice Address - Country:US
Practice Address - Phone:330-634-7060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-28
Last Update Date:2017-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty