Provider Demographics
NPI:1649850652
Name:CASSEL, EVA MARIE (NBC-HWC)
Entity type:Individual
Prefix:MS
First Name:EVA
Middle Name:MARIE
Last Name:CASSEL
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 MEANDER RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CO
Mailing Address - Zip Code:80550-4661
Mailing Address - Country:US
Mailing Address - Phone:970-402-0615
Mailing Address - Fax:
Practice Address - Street 1:2108 MEANDER RD
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CO
Practice Address - Zip Code:80550-4661
Practice Address - Country:US
Practice Address - Phone:970-402-0615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COA-2257785