Individual
ANNE CASSENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
16323 STEMMER RIDGE RD NW, PRIOR LAKE, MN 55379-9477
(612) 750-5535
Mailing address
16323 STEMMER RIDGE RD NW, PRIOR LAKE, MN 55379-9477
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R1171365
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-20954
IBLCE INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
—
01
—
R1171365
BOARD OF NURSING
MN
Enumeration date
03/23/2016
Last updated
03/23/2016
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