Individual
MRS. CASEY OVERCASH COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 741-7614
Mailing address
3100 SPRING FOREST RD, STE 130, RALEIGH, NC 27616-2880
(888) 280-9533
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001250408
VA
367500000X
Certified Registered Nurse Anesthetist
0024174535
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
6168
NC
Other
Enumeration date
02/07/2017
Last updated
12/18/2024
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