MEDICARE: SARA JO CASHMAN CNP

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
1	363LF0000X	Family Nurse Practitioner	CP002856	SD

General Provider Information

NPI Number	:	1881371359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA JO CASHMAN CNP

Provider Business Mailing Address
First Line	:	202 DUNHAM AVE N
Second Line	:
City	:	WESSINGTON SPRINGS
State	:	SD
Zip	:	57382-2111
Country	:	US
Telephone Number	:	605-770-9389
Fax Number	:

Provider Business Practice Location Address
First Line	:	602 1ST ST NE
Second Line	:
City	:	WESSINGTON SPRINGS
State	:	SD
Zip	:	57382-2167
Country	:	US
Telephone Number	:	605-539-1778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	07/03/2023

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