| Cassandria Claudine Stephenson | |
|
4027 E Sunset Rd Henderson NV 89014-0215 | |
| (754) 246-3364 | |
| (949) 703-8628 |
| Full Name | Cassandria Claudine Stephenson |
|---|---|
| Speciality | Clinic/Center |
| Location | 4027 E Sunset Rd, Henderson, Nevada |
| Authorized Official Name and Position | Cassandria Claudine Stephenson (OWNER) |
| Authorized Official Contact | 7542463364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandria Claudine Stephenson 959 Via Gandalfi Henderson NV 89011-0934 Ph: (754) 246-3364 | Cassandria Claudine Stephenson 4027 E Sunset Rd Henderson NV 89014-0215 Ph: (754) 246-3364 |
| NPI Number | 1144021676 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 07/14/2026 |
| Certification Date | 07/14/2026 |
| Medicare PECOS PAC ID | 5395264238 |
|---|---|
| Medicare Enrollment ID | O20250523001188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144021676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Cassandria Claudine Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073213609 PECOS PAC ID: 1052777299 Enrollment ID: I20230515000952 |
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