Individual
KRISTA M CASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC, IBCLC
Contact information
Practice address
500 BROOKSTONE CENTRE PARKWAY, #100, COLUMBUS, GA 31904
(706) 221-4602
(706) 221-4620
Mailing address
500 BROOKSTONE CENTRE PARKWAY, #100, COLUMBUS, GA 31904
(706) 221-4602
(706) 221-4620
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN247812
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN247812
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162152H
—
GA
Enumeration date
06/24/2015
Last updated
04/09/2025
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