Provider Demographics
NPI:1538929757
Name:PADLAN, CASSANDRA NADINE MOSCOSO (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:CASSANDRA NADINE
Middle Name:MOSCOSO
Last Name:PADLAN
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19338 CYPRESS GLADES CIR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-4370
Mailing Address - Country:US
Mailing Address - Phone:281-779-9853
Mailing Address - Fax:
Practice Address - Street 1:6624 FANNIN ST STE 1970
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2230
Practice Address - Country:US
Practice Address - Phone:713-797-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-22
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1155608363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care