Provider Demographics
NPI:1356864201
Name:TOEPPLER, CASSANDRA M (MSN, APNP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:M
Last Name:TOEPPLER
Suffix:
Gender:F
Credentials:MSN, APNP
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:M
Other - Last Name:RUHNKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3000 E MEADOWLARK LN
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-3940
Mailing Address - Country:US
Mailing Address - Phone:920-470-2401
Mailing Address - Fax:
Practice Address - Street 1:3000 E MEADOWLARK LN
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-3940
Practice Address - Country:US
Practice Address - Phone:920-470-2401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7734363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily