Cassandra Lynn Callahan, RN

Individual provider Active NPI Registered Nurse · Niagara, WI

NPI 1780322347 · NPPES record last updated May 24, 2022

Key facts

NPI
1780322347
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
26611330 (WI)
Practice address
1807 Neuens Rd
Niagara, WI 54151-9165
Phone
(906) 241-4576
NPI assigned
May 24, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26611330WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26611330 WI Yes

Addresses

Primary practice location

1807 Neuens Rd
Niagara, WI 54151-9165

Mailing address

7960 30TH Rd
Rapid River, MI 49878-9347
Phone (906) 241-4576

Other names

  • Cassie Lynn Callahan Other name

Other providers in Niagara, WI

All providers in Niagara, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.