person
Mrs. Kassandra Sue Kornbau, DNP,PMHNP-BC,FNP-BC
Psychiatric/Mental Health Nurse Practitioner in Canfield, Ohio
NPI 1447596564

Kassandra Sue Kornbau is a Psychiatric/Mental Health Nurse Practitioner based in Dallas, OH and is specialized in Psychiatric/Mental Health. Kassandra Sue Kornbau practices in Canfield, OH and has the professional credentials of DNP,PMHNP-BC,FNP-BC. The NPI Number for Kassandra Sue Kornbau is 1447596564 and holds a License No. 14139 (Ohio).

The current practice location address for Kassandra Sue Kornbau is 3768 Boardman Canfield Rd # 5, Canfield, OH and can be reached out via phone at 330-798-0491.

Location: 3768 Boardman Canfield Rd # 5, Canfield, OH, 28034-1098
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Provider Profile Details
NPI Number
1447596564
Provider Name
Kassandra Sue Kornbau
Credential
DNP,PMHNP-BC,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
3768 Boardman Canfield Rd # 5, Canfield, OH, 28034-1098
Phone Number
330-798-0491
Fax Number
Provider Enumeration Date
12/18/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0082856 05 OH
H206462 01 OH MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3768 Boardman Canfield Rd # 5
City
State
Zip
44406-8502
Phone Number
330-798-0491
Fax Number
person
Provider Business Mailing Address Details
Address
3768 Boardman Canfield Rd # 5
City
State
Zip
44406-8502
Phone Number
330-798-0491
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
14139 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
14139 (Ohio)
Definition
Definition to come...
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