Provider Demographics
NPI:1972869162
Name:FRANCO, CASSONDRA LEE (RN, BSN, CLC)
Entity type:Individual
Prefix:MRS
First Name:CASSONDRA
Middle Name:LEE
Last Name:FRANCO
Suffix:
Gender:F
Credentials:RN, BSN, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:448 E 1ST ST
Mailing Address - Street 2:SUITE 137
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-2804
Mailing Address - Country:US
Mailing Address - Phone:719-530-2562
Mailing Address - Fax:719-539-7197
Practice Address - Street 1:448 E 1ST ST
Practice Address - Street 2:SUITE 137
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2804
Practice Address - Country:US
Practice Address - Phone:719-530-2562
Practice Address - Fax:719-539-7197
Is Sole Proprietor?:No
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN-203202163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse