Provider Demographics
NPI:1700315678
Name:MCELROY, CASSANDRA DANIELLE (APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:DANIELLE
Last Name:MCELROY
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 GOBBLER HEAD DR
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-6091
Mailing Address - Country:US
Mailing Address - Phone:985-732-4853
Mailing Address - Fax:985-735-8883
Practice Address - Street 1:1416 GOBBLER HEAD DR
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427
Practice Address - Country:US
Practice Address - Phone:985-732-4853
Practice Address - Fax:985-735-8883
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09311363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner