Provider Demographics
NPI:1144686338
Name:BLUFF, CASSANDRA SAGE (RN)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:SAGE
Last Name:BLUFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 EAST ONEIDA ST
Mailing Address - Street 2:ELDEN ELEMENTARY HEALTH OFFICE
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027
Mailing Address - Country:US
Mailing Address - Phone:315-638-6120
Mailing Address - Fax:315-638-6171
Practice Address - Street 1:29 EAST ONEIDA ST
Practice Address - Street 2:ELDEN ELEMENTARY HEALTH OFFICE
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027
Practice Address - Country:US
Practice Address - Phone:315-638-6120
Practice Address - Fax:315-638-6171
Is Sole Proprietor?:No
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY495075163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care