Provider Demographics
NPI:1336716182
Name:SEITZ, CASSIE ANN (FNP BC, APRN)
Entity Type:Individual
Prefix:MRS
First Name:CASSIE
Middle Name:ANN
Last Name:SEITZ
Suffix:
Gender:F
Credentials:FNP BC, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 VILLAGE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3301
Mailing Address - Country:US
Mailing Address - Phone:469-800-0500
Mailing Address - Fax:469-800-0510
Practice Address - Street 1:2900 VILLAGE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-3301
Practice Address - Country:US
Practice Address - Phone:469-800-0500
Practice Address - Fax:469-800-0510
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2020040150363LF0000X
TX1023284363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily