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Individual

KASANDRA B.A. MOTWANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4506 1ST AVE, EVANSVILLE, IN 47710-3624
(812) 428-6161
(812) 421-2883
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 421-2883

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006585A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201405340
IN
Enumeration date
09/02/2016
Last updated
04/06/2017
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