Provider Demographics
NPI:1922729656
Name:LESTER, CASSY ELBERTA MARGART (FNP-C)
Entity Type:Individual
Prefix:
First Name:CASSY
Middle Name:ELBERTA MARGART
Last Name:LESTER
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 1:1304 N MALVERN RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-8590
Mailing Address - Country:US
Mailing Address - Phone:509-599-5762
Mailing Address - Fax:
Practice Address - Street 1:10414 WEST HIGHWAY 2
Practice Address - Street 2:SUITE 10
Practice Address - City:AIRWAY HEIGHTS
Practice Address - State:WA
Practice Address - Zip Code:99224
Practice Address - Country:US
Practice Address - Phone:509-342-3380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61354759363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care