NPI 1750585741 · live from the CMS NPI Registry
Nicole Marie Cassler, MD
Dermatology in Tacoma, WA. National Provider Identifier 1750585741, active.
NPI record
| NPI | 1750585741 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1901 S Union Ave Ste B3003, Tacoma, WA 98405 |
| Practice phone | 253-572-2842 |
| Mailing address | 11447 Griffin Pl Nw, Gig Harbor, WA 98332 |
| Enumerated | June 13, 2007 |
| Last updated | May 4, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preventive Medicine, Aerospace Medicine | 2083A0100X | 0101244008 (VA) |
| Dermatology | 207N00000X | 25916 (NE) |
| General Practice | 208D00000X | 21809 (MS) |
| General Practice | 208D00000X | 25916 (NE) |
| Dermatology primary | 207N00000X | 60869820 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.