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CASEY JOSEPH SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4433
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4433

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
64300
ID
363LF0000X
Family Nurse Practitioner
Primary
8671393
ID

Other

Enumeration date
11/24/2025
Last updated
06/24/2026
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