Provider Demographics
NPI:1750698585
Name:HAIDER, CASSANDRA B (NP-C)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:B
Last Name:HAIDER
Suffix:
Gender:
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 W CAPITOL AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-1306
Mailing Address - Country:US
Mailing Address - Phone:701-400-0067
Mailing Address - Fax:833-955-3662
Practice Address - Street 1:1140 W CAPITOL AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-1306
Practice Address - Country:US
Practice Address - Phone:701-751-7244
Practice Address - Fax:833-955-3662
Is Sole Proprietor?:No
Enumeration Date:2010-08-31
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR32409363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner