Individual provider · Type 1 NPI
Joseph Austin Cassidy, APRN, CPNP-PC
Pediatric Nurse Practitioner · Pleasant Grove, UT
NPI number
1528720646
Active
Practice location
1912 W 930 N
Pleasant Grove, UT 84062-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 12445460-3102 (UT) |
| Registered Nurse | 163W00000X | 248472 (TN) |
| Primary Care Nurse Practitioner | 363LP2300X | 12445460-4405 (UT) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 12445460-4405 (UT) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1528720646
Joseph Austin Cassidy, APRN, CPNP-PC's National Provider Identifier is 1528720646, issued on Oct 6, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Pleasant Grove, UT. The record was last updated on Oct 25, 2021.