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Individual

CASSANDRA FIFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6 WESTPORT CT, BLOOMINGTON, IL 61704-8233
(309) 722-4020
(309) 740-4440
Mailing address
6 WESTPORT CT, BLOOMINGTON, IL 61704-8233
(309) 722-4020
(309) 740-4440

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2090258848
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209025884
ADVANCED PRACTICE REGISTERED NURSE LICENSE
IL
Enumeration date
09/14/2022
Last updated
09/14/2022
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