Provider Demographics
NPI:1144880980
Name:ROSEBRAUGH, CASSANDRA (APRN-BC)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:
Last Name:ROSEBRAUGH
Suffix:
Gender:F
Credentials:APRN-BC
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:
Other - Last Name:BECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN-BC
Mailing Address - Street 1:504 W CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-2314
Mailing Address - Country:US
Mailing Address - Phone:813-446-3266
Mailing Address - Fax:
Practice Address - Street 1:2340 COMMERCE POINT DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33801-6880
Practice Address - Country:US
Practice Address - Phone:863-709-8543
Practice Address - Fax:863-688-2520
Is Sole Proprietor?:No
Enumeration Date:2019-06-14
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN1102683363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health