Individual
CASEY J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 S MONROE ST, ENID, OK 73701-7211
(580) 402-2261
(405) 758-5582
Mailing address
PO BOX 6112, ENID, OK 73702-6112
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
217424
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14538057
CAQH
—
05
—
201246930A
—
OK
Enumeration date
05/11/2006
Last updated
08/15/2025
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