Joseph Austin Cassidy, APRN, CPNP-PC Valid NPI

Individual provider · Pediatric Nurse Practitioner · Pleasant Grove, UT

NPI

1528720646

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

12445460-4405 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2021-10-06

Last updated

2021-10-25