Provider Demographics
NPI:1013633692
Name:CARTWRIGHT, CASSANDRA (RN)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:CARTWRIGHT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:
Other - Last Name:CARTWRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:138 PRIMA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:MILES CITY
Mailing Address - State:MT
Mailing Address - Zip Code:59301-8717
Mailing Address - Country:US
Mailing Address - Phone:406-951-1406
Mailing Address - Fax:
Practice Address - Street 1:138 PRIMA VISTA DR
Practice Address - Street 2:
Practice Address - City:MILES CITY
Practice Address - State:MT
Practice Address - Zip Code:59301-8717
Practice Address - Country:US
Practice Address - Phone:406-951-1406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT40200163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice