Individual provider · Type 1 NPI

Mary Ellen Cassanego, REGISTERED NURSE

Community Health Registered Nurse · Randallstown, MD

NPI number 1801008123 Active

Practice location

3525 Resource Dr
Randallstown, MD 21133-4733

Call (410) 887-0607 Map

Fax (410) 496-9398

Mailing address

1207 Fairfield Ave
Baltimore, MD 21209-2223

Specialties and licenses

Taxonomy	Code	License
Community Health Registered Nurse Primary	163WC1500X	R030330 (MD)

Community Health Registered Nurse: Definition to come...

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About NPI 1801008123

Mary Ellen Cassanego, REGISTERED NURSE's National Provider Identifier is 1801008123, issued on May 7, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Randallstown, MD. The record was last updated on Jul 8, 2007.