Provider Demographics
NPI:1588360556
Name:WORKMAN, CASSANDRA G (CNA)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:G
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 N RECLUSE CIR APT 2
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-6138
Mailing Address - Country:US
Mailing Address - Phone:907-315-6073
Mailing Address - Fax:
Practice Address - Street 1:1101 N RECLUSE CIR APT 2
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-6138
Practice Address - Country:US
Practice Address - Phone:907-315-6073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty