National Provider Identifier
Cassandra Lynn Tice, RN
Cassandra Lynn Tice, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Palmyra, NY and a listed phone number of (315) 597-6609.
Profile Overview
- NPI
- 1497351241
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- December 08, 2020
- Last Updated
- January 21, 2021
Practice Location
- 120 Canandaigua St
- Palmyra, NY 14522-1326
Phone: (315) 597-6609
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1497351241
- Entity Type
- Individual
- Last Name
- Tice
- First Name
- Cassandra
- Middle Name
- Lynn
- Credential
- RN
- Mailing Street Address
- 120 Canandaigua St
- Mailing City
- Palmyra
- Mailing State
- NY
- Mailing ZIP Code
- 14522-1326
- Mailing Country
- US
- Mailing Phone
- (315) 597-6609
- Mailing Fax
- (315) 597-3898
- Practice Street Address
- 120 Canandaigua St
- Practice City
- Palmyra
- Practice State
- NY
- Practice ZIP Code
- 14522-1326
- Practice Country
- US
- Practice Phone
- (315) 597-6609
- Practice Fax
- (315) 597-3898
- Enumeration Date
- December 08, 2020
- Last Updated
- January 21, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 21, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)