Provider Demographics
NPI:1154036556
Name:SASSMAN, RHIANNON (PA-C)
Entity type:Individual
Prefix:
First Name:RHIANNON
Middle Name:
Last Name:SASSMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1249 SCENIC HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-8017
Mailing Address - Country:US
Mailing Address - Phone:407-452-8008
Mailing Address - Fax:
Practice Address - Street 1:1040 GULF BREEZE PKWY STE 203
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-7808
Practice Address - Country:US
Practice Address - Phone:448-227-7225
Practice Address - Fax:850-916-8764
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9116943363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical