Individual
CASSANDRA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1051 WEST AVE, RICE LAKE, WI 54868-4425
(715) 719-0662
Mailing address
1051 WEST AVE, RICE LAKE, WI 54868-4425
(715) 822-2231
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
89488
WI
Other
Enumeration date
06/10/2009
Last updated
09/06/2019
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