Provider Demographics
NPI:1932079456
Name:SPENCER, CASSEE ZANETA
Entity type:Individual
Prefix:
First Name:CASSEE
Middle Name:ZANETA
Last Name:SPENCER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 BIG RUN RD
Mailing Address - Street 2:
Mailing Address - City:METZ
Mailing Address - State:WV
Mailing Address - Zip Code:26585-7050
Mailing Address - Country:US
Mailing Address - Phone:304-694-0984
Mailing Address - Fax:
Practice Address - Street 1:483 BIG RUN RD
Practice Address - Street 2:
Practice Address - City:METZ
Practice Address - State:WV
Practice Address - Zip Code:26585-7050
Practice Address - Country:US
Practice Address - Phone:304-694-0984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty