Dr BROOKE CASSIDY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2014.
COUNTY OF PUTNAM OFFICE OF AUDITOR
575 OTTAWA GLANDORF RD
SUITE 3
OTTAWA
OH
458759426
Tel: 4195234449
| Npi | 1831507540 |
| Pac Id | 3173742558 |
| Professional Enrollment Id | I20140917000981 |
| Last Name | CASSIDY |
| First Name | BROOKE |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| Organization Legal Name | COUNTY OF PUTNAM OFFICE OF AUDITOR |
| Group Practice Pac Id | 0143244566 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 575 OTTAWA GLANDORF RD |
| Line 2 Street Address | SUITE 3 |
| Marker Of Address Line 2 Suppression | |
| City | OTTAWA |
| State | OH |
| Zip Code | 458759426 |
| Phone Number | 4195234449 |
| Hospital Affiliation Ccn 1 | 360066 |
| Hospital Affiliation Lbn 1 | ST RITA'S MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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