Provider Demographics
NPI:1366999344
Name:MUNOZ-PARSONS, CASSANDRA A (APRN)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:A
Last Name:MUNOZ-PARSONS
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 BILL SCHOCK BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68355-2428
Mailing Address - Country:US
Mailing Address - Phone:402-245-4475
Mailing Address - Fax:402-245-6651
Practice Address - Street 1:3307 BILL SCHOCK BLVD
Practice Address - Street 2:
Practice Address - City:FALLS CITY
Practice Address - State:NE
Practice Address - Zip Code:68355-2428
Practice Address - Country:US
Practice Address - Phone:402-245-4475
Practice Address - Fax:402-245-6651
Is Sole Proprietor?:No
Enumeration Date:2016-09-07
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112040207Q00000X
MO2016028851363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420035763Medicaid