Individual
DONNA JEAN CASADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2355 POPLAR LEVEL RD STE G1-11, LOUISVILLE, KY 40217-1367
(502) 636-8121
(502) 636-8128
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002288
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78022886
—
KY
Enumeration date
07/05/2005
Last updated
10/13/2020
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