Most Relevant Information
Provider Data
| NPI Number: | 1003689720 |
| Provider Name: | KASSANDRA HYDE APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 364S00000X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 299655 |
Most Important Dates
| Enumeration Date: | 11/03/2023 |
| Last Updated: | 11/03/2023 |
Provider Practice Location
5777 E MAYO BLVD
PHOENIX
AZ
850544502
Practice Location Phone/Fax
| Phone: | 4803423962 |
| Fax: |
Provider Mailing Location
4147 W CROCUS DR
PHOENIX
AZ
850535314
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |