Individual
CASSANDRA MARIE GOLLAKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(906) 776-9040
(906) 774-5950
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
255675-30
WI
363LF0000X
Family Nurse Practitioner
Primary
14340-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023060758
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
07/28/2023
Last updated
12/07/2023
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