IndividualActive
Caressa Kasperbauer, PA-C
NPI 1700659604 · Physician Assistant · Tamuning, GU
Provider details
- NPI number
- 1700659604
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 23PA03 (GU)
Practice location
388 Ypao Rd
Tamuning, GU 96913-3701
Phone: (671) 646-8881
Fax: (671) 646-1292
Mailing address
388 Ypao Rd
Tamuning, GU 96913-3701
Registry dates
- Enumerated
- 2023-11-01
- Last updated
- 2023-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.