Provider Demographics
NPI:1598561045
Name:CUTBIRTH, CASSANDRA (PA)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:
Last Name:CUTBIRTH
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 CARTERET PL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-1531
Mailing Address - Country:US
Mailing Address - Phone:432-940-5432
Mailing Address - Fax:
Practice Address - Street 1:2277 NC 24-87
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:NC
Practice Address - Zip Code:28326-6687
Practice Address - Country:US
Practice Address - Phone:919-373-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-15011363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant