Provider Demographics
NPI:1205534468
Name:HUGI, CASSANDRA L (RN)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:L
Last Name:HUGI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:L
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 517
Mailing Address - Street 2:
Mailing Address - City:NUNDA
Mailing Address - State:NY
Mailing Address - Zip Code:14517-0517
Mailing Address - Country:US
Mailing Address - Phone:585-468-2900
Mailing Address - Fax:585-476-2664
Practice Address - Street 1:1716 CHURCH & MAPLE ST
Practice Address - Street 2:13 MILL ST
Practice Address - City:DALTON
Practice Address - State:NY
Practice Address - Zip Code:14836-1451
Practice Address - Country:US
Practice Address - Phone:585-468-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY499563163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool