Provider Demographics
NPI:1679837926
Name:FUREY, CASSIDY MARIE (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:CASSIDY
Middle Name:MARIE
Last Name:FUREY
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:CASSIDY
Other - Middle Name:MARIE
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CNP
Mailing Address - Street 1:2800 COUNTY ROAD 42 W STE 217
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-6933
Mailing Address - Country:US
Mailing Address - Phone:952-303-6832
Mailing Address - Fax:952-303-3434
Practice Address - Street 1:2800 COUNTY ROAD 42 W STE 217
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-6933
Practice Address - Country:US
Practice Address - Phone:952-303-6832
Practice Address - Fax:952-303-3434
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1741300163W00000X
MNC3062363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse