Individual
KATHLEEN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
625 N PLAZA DR, APACHE JUNCTION, AZ 85120-5501
(480) 983-0065
(480) 671-4541
Mailing address
PO BOX 3160, APACHE JUNCTION, AZ 85117-4115
(480) 983-0065
(480) 288-5339
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0380755-35
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477267
—
AZ
Enumeration date
07/11/2006
Last updated
07/27/2011
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