Individual
MRS. CASEY NICOLE PRESTIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
189 ADAM SHEPHERD PKWY STE 14, SHEPHERDSVILLE, KY 40165-6579
(502) 531-9823
Mailing address
189 ADAM SHEPHERD PKWY STE 14, SHEPHERDSVILLE, KY 40165-6579
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3015000
KY
363LF0000X
Family Nurse Practitioner
Primary
3015000
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1951718949
—
KY
Enumeration date
08/25/2020
Last updated
05/03/2022
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