Provider Demographics
NPI:1962770966
Name:KRUMPELMANN, CASSANDRA PIETA (ARNP-BC FAMILY)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:PIETA
Last Name:KRUMPELMANN
Suffix:
Gender:F
Credentials:ARNP-BC FAMILY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3121 E MADISON ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4262
Mailing Address - Country:US
Mailing Address - Phone:206-660-2002
Mailing Address - Fax:888-959-2291
Practice Address - Street 1:3121 E MADISON ST
Practice Address - Street 2:SUITE 204
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4262
Practice Address - Country:US
Practice Address - Phone:206-660-2002
Practice Address - Fax:888-959-2291
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60251144363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily