Provider Demographics
NPI:1609231018
Name:LAUTURE, CASSANDRA JOHANNE (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:JOHANNE
Last Name:LAUTURE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 NE 142ND ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-3130
Mailing Address - Country:US
Mailing Address - Phone:305-978-0433
Mailing Address - Fax:
Practice Address - Street 1:455 NE 142ND ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-3130
Practice Address - Country:US
Practice Address - Phone:305-978-0433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9210870363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily