Individual provider · Type 1 NPI
Cassandra Jean Bommersbach
Women's Health Nurse Practitioner · Bemidji, MN
NPI number
1821831629
Active
Practice location
1233 34th St NW
Bemidji, MN 56601-5112
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 11693 (MN) |
| Family Nurse Practitioner | 363LF0000X | 11693 (MN) |
Women's Health Nurse Practitioner: Definition to come...
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About NPI 1821831629
Cassandra Jean Bommersbach's National Provider Identifier is 1821831629, issued on Jun 18, 2024. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Bemidji, MN. The record was last updated on Jul 31, 2024.