Individual
CASSANDRA JEAN BOMMERSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 34TH ST NW, BEMIDJI, MN 56601-5112
(612) 807-8626
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11693
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
11693
MN
Other
Enumeration date
06/18/2024
Last updated
07/31/2024
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