Provider Demographics
NPI:1386368504
Name:TRAURIG, CASSANDRA ANN (APRN)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ANN
Last Name:TRAURIG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3176 N JOG RD APT 7207
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7429
Mailing Address - Country:US
Mailing Address - Phone:239-738-1400
Mailing Address - Fax:
Practice Address - Street 1:1411 N FLAGLER DR STE 8900
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3458
Practice Address - Country:US
Practice Address - Phone:561-227-9238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11022208363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily