Provider Demographics
NPI:1730885518
Name:MAURER, CASANDRA ELIZABETH
Entity type:Individual
Prefix:
First Name:CASANDRA
Middle Name:ELIZABETH
Last Name:MAURER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 VINE STREET
Mailing Address - Street 2:ATTEN: TONIA BEGLEY-COMMUNITY LIVING CENTER
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2213
Mailing Address - Country:US
Mailing Address - Phone:513-335-4539
Mailing Address - Fax:
Practice Address - Street 1:3200 VINE STREET
Practice Address - Street 2:ATTEN: DR. ANGEL COMBS PBNR
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2213
Practice Address - Country:US
Practice Address - Phone:740-222-8205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1175835163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse