Provider Demographics
NPI:1124860531
Name:TWARDOWSKI, CASSANDRA LEE (CNP)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LEE
Last Name:TWARDOWSKI
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35035 COUNTY 1
Mailing Address - Street 2:
Mailing Address - City:EAGLE BEND
Mailing Address - State:MN
Mailing Address - Zip Code:56446-9903
Mailing Address - Country:US
Mailing Address - Phone:218-296-2029
Mailing Address - Fax:
Practice Address - Street 1:35035 COUNTY 1
Practice Address - Street 2:
Practice Address - City:EAGLE BEND
Practice Address - State:MN
Practice Address - Zip Code:56446-9903
Practice Address - Country:US
Practice Address - Phone:218-296-2029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-07
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11479363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner