Provider Demographics
NPI:1760750509
Name:FREELAND, CASSANDRA (CRNA)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:
Last Name:FREELAND
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 N 6TH ST
Mailing Address - Street 2:APT 215
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1810
Mailing Address - Country:US
Mailing Address - Phone:206-661-0524
Mailing Address - Fax:
Practice Address - Street 1:831 BOSTON POST RD
Practice Address - Street 2:STE 203
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3536
Practice Address - Country:US
Practice Address - Phone:888-783-1831
Practice Address - Fax:203-874-5209
Is Sole Proprietor?:No
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT103084367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered