Provider Demographics
NPI:1073308979
Name:TALBERG, CASSANDRA JACQUELINE (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:JACQUELINE
Last Name:TALBERG
Suffix:
Gender:
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 VINCENT ST S
Mailing Address - Street 2:
Mailing Address - City:PIERZ
Mailing Address - State:MN
Mailing Address - Zip Code:56364-4125
Mailing Address - Country:US
Mailing Address - Phone:320-290-3592
Mailing Address - Fax:
Practice Address - Street 1:107 VINCENT ST S
Practice Address - Street 2:
Practice Address - City:PIERZ
Practice Address - State:MN
Practice Address - Zip Code:56364-4125
Practice Address - Country:US
Practice Address - Phone:320-290-3592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12721363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily