Provider Demographics
NPI:1770295586
Name:HUMMEL, CASSIE D (ARNP, DNP FNP-BC)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:D
Last Name:HUMMEL
Suffix:
Gender:F
Credentials:ARNP, DNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 W CASTLEMAN ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:WA
Mailing Address - Zip Code:98632-4612
Mailing Address - Country:US
Mailing Address - Phone:360-353-9494
Mailing Address - Fax:360-353-9440
Practice Address - Street 1:2329 W CASTLEMAN ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-4612
Practice Address - Country:US
Practice Address - Phone:360-513-4203
Practice Address - Fax:360-703-6483
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WAAP61477987363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program