Individual
MRS. CASEY MARIE HUCKESTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
528 LIPPINCOTT DR, MARLTON, NJ 08053-4805
(856) 983-3899
Mailing address
1932 LATONA ST, PHILADELPHIA, PA 19146-2921
(856) 266-8476
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00849600
NJ
Other
Enumeration date
08/17/2018
Last updated
03/22/2019
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