Provider Demographics
NPI:1073213609
Name:STEPHENSON, CASSANDRIA CLAUDINE (NP)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRIA
Middle Name:CLAUDINE
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MRS
Other - First Name:CASSANDRIA
Other - Middle Name:CLAUDINE
Other - Last Name:MCLEOD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MCLEOD
Mailing Address - Street 1:959 VIA GANDALFI
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89011-0934
Mailing Address - Country:US
Mailing Address - Phone:754-246-3364
Mailing Address - Fax:
Practice Address - Street 1:1748 W HORIZON RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-4833
Practice Address - Country:US
Practice Address - Phone:702-982-1300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV812755163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management