Individual
ELISA HANSON CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1965 CAPITAL CIR NE STE 200, TALLAHASSEE, FL 32308-8402
(850) 656-2006
(850) 656-2820
Mailing address
1965 CAPITAL CIR NE STE 200, TALLAHASSEE, FL 32308-8402
(850) 656-2006
(850) 656-2820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2749512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307174000
—
FL
01
—
Y082J
BCBS OF FLORIDA
FL
Enumeration date
08/17/2005
Last updated
04/15/2021
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