Individual
ELIZABETH CASSTEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2133 ROCKFORD ST STE 1400, MOUNT AIRY, NC 27030-6594
(336) 719-6199
(336) 719-2313
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011147
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011147
NCBON
NC
Enumeration date
10/23/2018
Last updated
10/26/2020
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