Cassandra Lynn Stull in Boone - Physician Assistant

Cassandra Lynn Stull - NPI 1023068624

Cassandra Lynn Stull is a Physician Assistant in Boone, North Carolina. Cassandra Lynn Stull practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Cassandra Lynn Stull is 1023068624. The last update date is 2023-07-03.

Cassandra Lynn Stull's current location address is Mary S Shook Student Health Services, Boone, North Carolina. You can contact this provider via phone number 8282623100 and fax number 8282626262. The mailing address for Cassandra Lynn Stull is Mary S Shook Student Health Services, Boone, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Cassandra Lynn Stull
Address Mary S Shook Student Health Services, Boone, North Carolina
Phone Number 8282623100
Fax Number 8282626262
Sole Proprietor N
Credentials MPAS, PA-C

NPI Number Detail

NPI Number 1023068624
Provider Enumeration Date 2006-05-12
Last Updated Date 2023-07-03

Provider Mailing Address Detail

Address Mary S Shook Student Health Services
City Boone
State North Carolina (NC)
Post Code 286082070
Phone Number 8282623100
Fax Number 8282626262

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1000297
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200205133 NC UNITED HEALTHCARE
56142 NC HEALTHCARE SYSTEMS
8989937 NC --
871437 NC CIGNA
34D1018993 NC CLIA WAVE
89937 NC PROVIDER BCBS
D0263 NC MEDCOST PROVIDER

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FAQs about Cassandra Lynn Stull

What is the unique identification code assigned to Cassandra Lynn Stull by the Centers for Medicare & Medicaid Services?

The Cassandra Lynn Stull has been issued the NPI (National Provider Identifier) 1023068624. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Cassandra Lynn Stull's facilities are geographically located?

The facilities of Cassandra Lynn Stull are physically situated at the following location: Mary S Shook Student Health Services, Boone, NC, 286082070.

What is the Cassandra Lynn Stull's area of specialization and corresponding taxonomy classification?

The Cassandra Lynn Stull's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1023068624 assigned to Cassandra Lynn Stull?

The Cassandra Lynn Stull was issued its 1023068624 on 2006-05-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Cassandra Lynn Stull, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Cassandra Lynn Stull, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-07-03.

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