Beau Cassidy is a Family in Lafayette, Tennessee. Beau Cassidy practices all healthcare services and medical treatments related to Family. The NPI Number for Beau Cassidy is 1568466480. The last update date is 2023-08-02.
Beau Cassidy's current location address is 602 Red Boiling Springs Rd, Lafayette, Tennessee. You can contact this provider via phone number 6152375410 and fax number 6152375411. The mailing address for Beau Cassidy is 602 Red Boiling Springs Rd, Lafayette, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beau Cassidy |
|---|---|
| Address | 602 Red Boiling Springs Rd, Lafayette, Tennessee |
| Phone Number | 6152375410 |
| Fax Number | 6152375411 |
| Sole Proprietor | N |
| Credentials | FNP-C |
NPI Number Detail
| NPI Number | 1568466480 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2023-08-02 |
Provider Mailing Address Detail
| Address | 602 Red Boiling Springs Rd |
|---|---|
| City | Lafayette |
| State | Tennessee (TN) |
| Post Code | 3708313160 |
| Phone Number | 6152375410 |
| Fax Number | 6152375411 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 8375 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q000435 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Beau Cassidy by the Centers for Medicare & Medicaid Services?
The Beau Cassidy has been issued the NPI (National Provider Identifier) 1568466480, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Beau Cassidy's physical address?
The Beau Cassidy is physically located at 602 Red Boiling Springs Rd, in the city of Lafayette, TN, with the postal code 3708313160.
What is Beau Cassidy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Beau Cassidy is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
When was the Beau Cassidy's 1568466480 issued?
The Beau Cassidy's 1568466480 was issued on 2005-06-09.
When was the information pertaining to Beau Cassidy most recently updated or revised?
The details related to Beau Cassidy, including its address, specialty, and other relevant information, were last updated or revised on 2023-08-02.