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Individual
CASEY MARIE SCHOETTLE
Active
Individual
CASEY MARIE SCHOETTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28223805A
IN
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
71014110A
IN
363LG0600X
Gerontology Nurse Practitioner
71014110A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074790153
MEDICARE PTAN
IN
01
—
1103157452
ANTHEM PTAN
IN
01
—
267030324
MEDICARE PTAN
IN
05
—
300079156
—
IN
Enumeration date
04/24/2023
Last updated
02/16/2025
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