Individual
CASEY CADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
2021019303
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2022037507
MO
363LP0200X
Pediatric Nurse Practitioner
RN150105
GA
Other
Enumeration date
02/05/2014
Last updated
08/01/2024
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