Individual
CASANDRA JANE NEWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
560 W MITCHELL ST STE 400, PETOSKEY, MI 49770-2274
(231) 487-2490
Mailing address
560 W MITCHELL ST, STE 400, PETOSKEY, MI 49770-2274
(231) 330-3585
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704255241
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704255241
STATE LICENSE
MI
Enumeration date
06/19/2020
Last updated
07/15/2020
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