Individual
CASEY RAYE WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-2000
Mailing address
6208 TIMBER CREEK LN, WILMINGTON, NC 28411-7461
(910) 274-5590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
320254
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
7848
NC
Other
Enumeration date
05/15/2023
Last updated
06/27/2025
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