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NPI Code Detail

MEDICARE: CASSANDRA NEESE

MEDICARE: CASSANDRA NEESE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse235724-30WI

General Provider Information

NPI Number : 1720919202
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA NEESE
Provider Business Mailing Address
First Line : 3330 STAHL RD
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53081-8862
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3330 STAHL RD
Second Line :
City : SHEBOYGAN
State : WI
Zip : 53081-8862
Country : US
Telephone Number : 920-459-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ CASSANDRA NEESE ” Practice Location

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