Provider Demographics
NPI:1013617232
Name:HOWARD, CASSANDRA DENISE (LPN)
Entity Type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:DENISE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 LANSING ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-1924
Mailing Address - Country:US
Mailing Address - Phone:315-723-2818
Mailing Address - Fax:
Practice Address - Street 1:1106 LANSING ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-1924
Practice Address - Country:US
Practice Address - Phone:315-723-2818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY313148164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse