Individual provider · Type 1 NPI
Cassandra Gagliardo, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MI
NPI number
1477276871
Active
Practice location
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Fax (616) 327-6368
Mailing address
3333 Evergreen Dr NE Ste 210
Grand Rapids, MI 49525-9830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704261303 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1477276871
Cassandra Gagliardo, PMHNP's National Provider Identifier is 1477276871, issued on Sep 21, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 29, 2024.