Individual
CASSIE J JOHANNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1316 S. MAIN ST., CLARION, IA 50525-2019
(515) 532-2811
(515) 532-9245
Mailing address
1316 S MAIN ST., CLARION, IA 50525-2019
(515) 532-2811
(515) 532-9245
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D147533
IA
367500000X
Certified Registered Nurse Anesthetist
R1592931
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00874891
RAILROAD MEDICARE
MN
Enumeration date
04/07/2010
Last updated
12/09/2019
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