Individual
CASSANDRA JO LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
2402 WINNEBAGO ST, MADISON, WI 53704-5341
(608) 242-6840
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
149029
WI
367A00000X
Advanced Practice Midwife
75
MN
367A00000X
Advanced Practice Midwife
R2153269
MN
Other
Enumeration date
08/07/2013
Last updated
12/10/2021
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