Individual
CASSIE MARIE BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS FNP
Contact information
Practice address
300 E 8TH ST, GORDON, NE 69343-1123
(308) 282-0401
Mailing address
300 E 8TH ST, GORDON, NE 69343-1123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110982
NE
363LF0000X
Family Nurse Practitioner
167820
CO
Other
Enumeration date
06/11/2008
Last updated
10/08/2008
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