Cassandra M Godzik
Nurse Practitioner - Psychiatric/Mental Health
One Medical Center Dr
Lebanon
, New Hampshire 03756-0001
Cassandra M Godzik
Nurse Practitioner - Psychiatric/Mental Health
One Medical Center Dr
Lebanon
, New Hampshire 03756-0001
(781) 259-8565
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Cassandra M Godzik
- 115 Mill St Mail Stop 336
- Belmont, MA
- Zip : 02478-1064
- Phone : (781) 259-8565
Second Address
- Cassandra M Godzik
- One Medical Center Dr
- Lebanon, NH
- Zip : 03756-0001
- Phone : (603) 650-7232
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Is Cassandra M Godzik a sole practitioner?
Is Cassandra M Godzik accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 083523-23 | NH |
| N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 2298434 | MA |
National Provider Identifier
| NPI | 1013370436 |
|---|---|
| Provider Name | Cassandra M Godzik |
| First Address | Belmont, MA 02478-1064 |
| Second Address | Lebanon, NH 03756-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/04/2016 |
| Last Update Date | 26/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.