Individual
MRS. CASSANDARA M SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
(541) 405-3646
Mailing address
40580 MOHAWK RIVER RD, MARCOLA, OR 97454-9709
(541) 405-3646
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
097006513N1
OR
Other
Enumeration date
02/16/2007
Last updated
08/18/2020
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