Provider Demographics
NPI:1376728006
Name:STEWARD, CASSANDRA ESTELLE (NURSE AIDE)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:ESTELLE
Last Name:STEWARD
Suffix:
Gender:F
Credentials:NURSE AIDE
Other - Prefix:MRS
Other - First Name:CASSANDRA
Other - Middle Name:ESTELLE
Other - Last Name:STEWARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE-AIDE
Mailing Address - Street 1:2514 MACK RD
Mailing Address - Street 2:2514 MACK RD
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-4846
Mailing Address - Country:US
Mailing Address - Phone:513-858-2514
Mailing Address - Fax:513-858-2514
Practice Address - Street 1:2514 MACK RD
Practice Address - Street 2:2514 MACK RD
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-4846
Practice Address - Country:US
Practice Address - Phone:513-858-2514
Practice Address - Fax:513-858-2514
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400050881101376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide