Individual
STEFANIE E CASEY
Active
Individual
STEFANIE E CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
202000079NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
AP60320123
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194060251
—
WA
01
—
P01553358
RR PTAN
WA
Enumeration date
11/30/2012
Last updated
10/13/2020
Update your record
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