Provider Demographics
NPI:1215246780
Name:GAFFNEY, CASANDRA B (CRNP)
Entity type:Individual
Prefix:
First Name:CASANDRA
Middle Name:B
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CASANDRA
Other - Middle Name:B
Other - Last Name:SNADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:600 E MARSHALL ST STE 205
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4453
Mailing Address - Country:US
Mailing Address - Phone:610-903-6200
Mailing Address - Fax:
Practice Address - Street 1:600 E MARSHALL ST STE 205
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4453
Practice Address - Country:US
Practice Address - Phone:610-903-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010970363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102884516Medicaid
PA314549Medicare PIN