Provider Demographics
NPI:1538187844
Name:CASS, CYNTHIANNA (CRNA)
Entity type:Individual
Prefix:
First Name:CYNTHIANNA
Middle Name:
Last Name:CASS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23242 CITRUS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HOWEY IN THE HILLS
Mailing Address - State:FL
Mailing Address - Zip Code:34737-4139
Mailing Address - Country:US
Mailing Address - Phone:321-794-1182
Mailing Address - Fax:352-324-2194
Practice Address - Street 1:23242 CITRUS VALLEY RD
Practice Address - Street 2:
Practice Address - City:HOWEY IN THE HILLS
Practice Address - State:FL
Practice Address - Zip Code:34737-4139
Practice Address - Country:US
Practice Address - Phone:321-794-1182
Practice Address - Fax:352-324-2194
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9169227367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU7991XMedicare PIN