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Individual

KIMBERELY SUE CASAGNI

Active
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Individual

KIMBERELY SUE CASAGNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.R.N.-FNP

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
003065
CT
363LP2300X
Primary Care Nurse Practitioner
003065
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004257459
CT
01
030650
CONNETICARE
CT
01
2V6388
HEALTHNET
CT
01
400003065CT03
ANTHEM
CT
01
400003065CT05
ANTHEM
CT
01
P00277966
RAILROAD MEDICARE
CT
01
P3387910
OXFORD
CT
Enumeration date
09/25/2006
Last updated
11/17/2017
Update your record

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