Provider Demographics
NPI:1962381822
Name:CASSANO, ERIN L
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:CASSANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19017 REDWOOD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-3185
Mailing Address - Country:US
Mailing Address - Phone:023-944-4294
Mailing Address - Fax:
Practice Address - Street 1:19017 REDWOOD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-3185
Practice Address - Country:US
Practice Address - Phone:402-394-4429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant