Provider Demographics
NPI:1669936829
Name:HEUER, CASSANDRA RAE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:RAE
Last Name:HEUER
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 N HARRISON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-2395
Mailing Address - Country:US
Mailing Address - Phone:605-280-4271
Mailing Address - Fax:605-309-7926
Practice Address - Street 1:1205 N HARRISON AVE STE 100
Practice Address - Street 2:
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-2395
Practice Address - Country:US
Practice Address - Phone:605-301-7455
Practice Address - Fax:605-309-7926
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-22
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP001526363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty