National Provider Identifier

Cassidy Yaw, LPN

Cassidy Yaw, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ithaca, NY and a listed phone number of (607) 273-5335.

NPI 1073286902Ithaca, NYLicensed Practical Nurse

Profile Overview

NPI
1073286902
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
July 27, 2021
Last Updated
July 27, 2021

Practice Location

  • 226 S Fulton St
  • Ithaca, NY 14850-3306

Phone: (607) 273-5335

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1073286902
Entity Type
Individual
Last Name
Yaw
First Name
Cassidy
Credential
LPN
Mailing Street Address
226 S Fulton St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3306
Mailing Country
US
Mailing Phone
(607) 273-5335
Practice Street Address
226 S Fulton St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3306
Practice Country
US
Practice Phone
(607) 273-5335
Enumeration Date
July 27, 2021
Last Updated
July 27, 2021
Sex
Female
Sole Proprietor
No
Certification Date
July 27, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)