Individual
CASSANDRE D. VIETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1155 W PARKVIEW ST STE 1C, BOLIVAR, MO 65613-7800
(417) 326-7246
Mailing address
2271 E 330TH RD, GOODSON, MO 65663-7124
(417) 840-6246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2011015999
MO
363LF0000X
Family Nurse Practitioner
Primary
2020016219
MO
Other
Enumeration date
06/09/2020
Last updated
06/21/2021
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