Provider Demographics
NPI:1134870942
Name:MCQUEEN, CASSONDRA (FNP-C)
Entity type:Individual
Prefix:
First Name:CASSONDRA
Middle Name:
Last Name:MCQUEEN
Suffix:
Gender:
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 1:975 S ELK WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-6151
Mailing Address - Country:US
Mailing Address - Phone:720-327-2329
Mailing Address - Fax:
Practice Address - Street 1:11880 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-5002
Practice Address - Country:US
Practice Address - Phone:720-792-7575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997262-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner