CASSANDRA MAE CORSARO AGNP NPI 1972449320

NPI Information

  • NPI: 1972449320
  • Provider Name: CASSANDRA MAE CORSARO, AGNP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • Address: 1652 JERRY AVE
    ESCALON, CA
    ZIP 95320
  • Phone: (904) 412-6272

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NPI Details

Cassandra Mae Corsaro, AGNP is a gerontology nurse practitioner in Escalon, CA. Cassandra Mae Corsaro, AGNP NPI is 1972449320. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1652 JERRY AVE
ESCALON, CA
ZIP 95320-141
Phone: (904) 412-6272

The enumeration date for this NPI number is 4/28/2026 and was last updated on 4/28/2026.

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
1363LG0600XNurse PractitionerGerontology827914CALIFORNIAYes

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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