Provider Demographics
NPI:1336947035
Name:WILLIAMS, CASSANDRA NICOLE (RN)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:NICOLE
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:RN
Other - Prefix:MS
Other - First Name:CASSANDRA
Other - Middle Name:NICOLE
Other - Last Name:CHANDLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:707 N 190TH PLZ
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-3974
Mailing Address - Country:US
Mailing Address - Phone:402-815-4424
Mailing Address - Fax:
Practice Address - Street 1:707 N 190TH PLZ
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-3974
Practice Address - Country:US
Practice Address - Phone:402-815-4424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE94235163WH0200X, 163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163WH0200XNursing Service ProvidersRegistered NurseHome Health