| Doctor Name: | CASSIE MARIE BANKS |
| NPI Number: | 1154581429 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS FNP |
| License Number: | 167820 |
| Business Practice Address: | 300 E 8th St Gordon, NE - 693431123 |
| Business Phone Number: | 3082820401 |
| Business Fax Number: | |
| Mailing Address: | 300 E 8th St, GORDON |
| State: | NE |
| Postal Code: | 693431123 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2008 |
| NPI Last Update Date: | 10/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 167820 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |