Provider Demographics
NPI:1235531666
Name:RODRIGUEZ, CASSANDRA DANIELLE (NP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:DANIELLE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:645 PAUL HUFF PARKWAY NW, SUITE 105
Mailing Address - Street 2:CHI MEMORIAL CONVENIENT CARE - CLEVELAND
Mailing Address - City:CLEVELAND
Mailing Address - State:TN
Mailing Address - Zip Code:37312
Mailing Address - Country:US
Mailing Address - Phone:423-790-7750
Mailing Address - Fax:423-790-7659
Practice Address - Street 1:645 PAUL HUFF PARKWAY NW, SUITE 105
Practice Address - Street 2:CHI MEMORIAL CONVENIENT CARE - CLEVELAND
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312
Practice Address - Country:US
Practice Address - Phone:423-790-7750
Practice Address - Fax:423-790-7659
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2017-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNAPN18897363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily