Individual
MR. CASEY BLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
751 OLD RICHARDSON HWY STE 101, FAIRBANKS, AK 99701-7802
(907) 328-0844
(907) 328-0843
Mailing address
751 OLD RICHARDSON HWY STE 101, FAIRBANKS, AK 99701-7802
(907) 328-0844
(907) 328-0843
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN0178128
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0993604-NP
CO
Other
Enumeration date
10/13/2016
Last updated
12/02/2021
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