CASSANDRA WATERBURY APRN NPI 1760357099

NPI Information

  • NPI: 1760357099
  • Provider Name: CASSANDRA WATERBURY, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 28 CRESCENT ST
    MIDDLETOWN, CT
    ZIP 06457
  • Phone: (860) 975-7277

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NPI Details

Cassandra Waterbury, APRN is a psychiatric/mental health nurse practitioner in Middletown, CT. Cassandra Waterbury, APRN NPI is 1760357099. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28 CRESCENT ST
MIDDLETOWN, CT
ZIP 06457-654
Phone: (860) 975-7277

The enumeration date for this NPI number is 10/7/2025 and was last updated on 10/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health12.015435CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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