Provider Demographics
NPI:1942909247
Name:ROBERTSON, CASSIE LORD (DNP, APRN-BC)
Entity Type:Individual
Prefix:DR
First Name:CASSIE
Middle Name:LORD
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:DNP, APRN-BC
Other - Prefix:DR
Other - First Name:CASSIE
Other - Middle Name:ELIZABETH
Other - Last Name:LORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN-BC
Mailing Address - Street 1:26634 NW 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-2608
Mailing Address - Country:US
Mailing Address - Phone:352-356-3800
Mailing Address - Fax:
Practice Address - Street 1:105 SW 140TH CT STE 4
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-3391
Practice Address - Country:US
Practice Address - Phone:352-306-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11021837363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily