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Individual

CASSANDRA F NEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
2005028339
MO
363L00000X
Nurse Practitioner
45798
KS
363LP0200X
Pediatric Nurse Practitioner
Primary
2005028339
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200357620A
KS
05
427626908
MO
Enumeration date
09/20/2006
Last updated
10/15/2010
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