Provider Demographics
NPI:1548018427
Name:MENDER, CASSIE A (CMA)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:A
Last Name:MENDER
Suffix:
Gender:F
Credentials:CMA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-0188
Mailing Address - Country:US
Mailing Address - Phone:740-773-4366
Mailing Address - Fax:
Practice Address - Street 1:8461 SR 144
Practice Address - Street 2:
Practice Address - City:STEWART
Practice Address - State:OH
Practice Address - Zip Code:45778
Practice Address - Country:US
Practice Address - Phone:740-662-0541
Practice Address - Fax:740-662-0361
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider