Provider Demographics
NPI:1790251825
Name:BOUNDS, CASSANDRA ANN
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ANN
Last Name:BOUNDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 100TH ST NE
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:98252-8643
Mailing Address - Country:US
Mailing Address - Phone:360-283-4538
Mailing Address - Fax:360-283-4419
Practice Address - Street 1:1401 100TH ST NE
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:WA
Practice Address - Zip Code:98252-8643
Practice Address - Country:US
Practice Address - Phone:360-283-4538
Practice Address - Fax:360-283-4419
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60276223163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool