Provider Demographics
NPI:1356606446
Name:BRADER, CASSANDRA JO (APRN- FNP)
Entity type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:JO
Last Name:BRADER
Suffix:
Gender:F
Credentials:APRN- FNP
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:JO
Other - Last Name:BARGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP, MSN
Mailing Address - Street 1:715 N KANSAS AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-4452
Mailing Address - Country:US
Mailing Address - Phone:402-460-5516
Mailing Address - Fax:402-460-5521
Practice Address - Street 1:715 N KANSAS AVE STE 302
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-4452
Practice Address - Country:US
Practice Address - Phone:402-460-5516
Practice Address - Fax:402-460-5521
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111360363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily