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Individual

CASSIDY ALANA CARR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
625 COURT STREET, SIOUX CITY, IA 51101-1919
(712) 252-3871
(712) 252-3157
Mailing address
625 COURT STREET, SIOUX CITY, IA 51101-1919
(712) 252-3871
(712) 252-3157

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
127714
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G159688
IA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
G159688
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127714
IA
Enumeration date
03/14/2019
Last updated
06/01/2022
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