| Doctor Name: | CASSANDA HOWELL MAXWELL |
| NPI Number: | 1063612190 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CPNP |
| License Number: | AP05255 |
| Business Practice Address: | 1025 Highway 80 Haughton, LA - 710377425 |
| Business Phone Number: | 3189490539 |
| Business Fax Number: | 3189490759 |
| Mailing Address: | 1025 Highway 80, HAUGHTON |
| State: | LA |
| Postal Code: | 710377425 |
| Phone Number: | 3189490539 |
| Fax Number: | 3189490759 |
| NPI Enumeration Date: | 07/18/2007 |
| NPI Last Update Date: | 10/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | AP05255 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |