Provider Demographics
NPI:1316786502
Name:BRANSON, CASSANDRA ANN
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ANN
Last Name:BRANSON
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 1:2320 SHAWNEE TRL
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-8939
Mailing Address - Country:US
Mailing Address - Phone:614-580-7278
Mailing Address - Fax:
Practice Address - Street 1:1633 CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-8818
Practice Address - Country:US
Practice Address - Phone:614-580-7278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care