Cassidy Mcrorie, PNP-PC | |
10940 Raven Ridge Rd, Raleigh, NC 27614-6610 | |
(540) 505-6894 | |
Not Available |
Full Name | Cassidy Mcrorie |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 10940 Raven Ridge Rd, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518636760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 5020051 (Tennessee) | Primary |
Entity Name | St Jude Childrens Research Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
Mailing Address | Practice Location Address |
---|---|
Cassidy Mcrorie, PNP-PC 10940 Raven Ridge Rd Ste 200, Raleigh, NC 27614-6611 Ph: () - | Cassidy Mcrorie, PNP-PC 10940 Raven Ridge Rd, Raleigh, NC 27614-6610 Ph: (540) 505-6894 |
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