Provider Demographics
NPI:1336983105
Name:DENGLER, CASSANDRA SERENE (ARNP, PMHNP)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:SERENE
Last Name:DENGLER
Suffix:
Gender:F
Credentials:ARNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:1730 LABOUNTY DR STE 9-24
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-8959
Mailing Address - Country:US
Mailing Address - Phone:360-404-7463
Mailing Address - Fax:360-282-0734
Practice Address - Street 1:117 N 1ST ST STE 55
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2858
Practice Address - Country:US
Practice Address - Phone:360-588-4950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAAP61574970363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health