Provider Demographics
NPI:1881371359
Name:CASHMAN, SARA JO (CNP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JO
Last Name:CASHMAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:JO
Other - Last Name:DEINERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:202 DUNHAM AVE N
Mailing Address - Street 2:
Mailing Address - City:WESSINGTON SPRINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57382-2111
Mailing Address - Country:US
Mailing Address - Phone:605-770-9389
Mailing Address - Fax:
Practice Address - Street 1:602 1ST ST NE
Practice Address - Street 2:
Practice Address - City:WESSINGTON SPRINGS
Practice Address - State:SD
Practice Address - Zip Code:57382-2167
Practice Address - Country:US
Practice Address - Phone:605-539-1778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDCP002856363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily