Individual
SANDI LYNN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1500 E DOWNING ST STE 101, TAHLEQUAH, OK 74464-3354
(918) 708-3570
(918) 453-2772
Mailing address
2028 MAHANEY AVE, TAHLEQUAH, OK 74464-5783
(918) 456-0001
(918) 456-6383
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
77987
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200666850A
—
OK
Enumeration date
06/15/2016
Last updated
06/04/2019
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