Individual
CASSANDRA M. WOLANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, BC
Contact information
Practice address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477
(541) 868-9303
(541) 868-9306
Mailing address
3355 RIVERBEND DR STE 300, SPRINGFIELD, OR 97477-8800
(541) 868-9303
(541) 868-9306
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201350049NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50068982
—
OR
Enumeration date
03/27/2011
Last updated
02/13/2020
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