Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASSANDRA NICHOLE BANUELOS, RN
Active Sole ProprietorMedical-Surgical Nurse · BALDWIN PARK, CA
Registration Details
- NPI Number
- 1306428008
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2021 (5.0270444378862 yrs)
- Last Updated
- Apr 22, 2021
- License
-
95126731 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3812 ATHOL STBALDWIN PARK, CA, 917063812Browse CA providers · Browse ZIP 91706
- Phone
- 6263722200
- Primary Specialty
-
Medical-Surgical Nurse
163WM0705X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.