Provider Demographics
NPI:1679385322
Name:WILLIAMS, KASANDRA (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:KASANDRA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 N PIKE RD
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:PA
Mailing Address - Zip Code:16023-2026
Mailing Address - Country:US
Mailing Address - Phone:724-996-0033
Mailing Address - Fax:
Practice Address - Street 1:71 PROGRESS AVE
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-3511
Practice Address - Country:US
Practice Address - Phone:724-742-1959
Practice Address - Fax:724-776-7006
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP031919363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily