Provider Demographics
NPI:1144472804
Name:ALBERTSON, CASSANDRA CLAY (PA)
Entity type:Individual
Prefix:MS
First Name:CASSANDRA
Middle Name:CLAY
Last Name:ALBERTSON
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:10516 TREDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-1159
Mailing Address - Country:US
Mailing Address - Phone:267-626-4480
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:DUMC 3677
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-684-2472
Practice Address - Fax:919-684-4954
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-14
Last Update Date:2017-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY23 012890363AS0400X
NC0010-05403363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical