Provider Demographics
NPI:1144097841
Name:ROSCHEN, CASSANDRA (FNTP)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:ROSCHEN
Suffix:
Gender:F
Credentials:FNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4848 PIN OAK PARK APT 235
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2276
Mailing Address - Country:US
Mailing Address - Phone:507-399-1684
Mailing Address - Fax:
Practice Address - Street 1:4848 PIN OAK PARK APT 235
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2276
Practice Address - Country:US
Practice Address - Phone:507-399-1684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist