Individual
MRS. CASEY RENEE CLEVENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4437 STATE ROUTE 159, SUITE 125, CHILLICOTHE, OH 45601-7065
(740) 779-4570
(740) 779-4579
Mailing address
272 HOSPITAL RD STE 6, CHILLICOTHE, OH 45601-9031
(740) 779-4275
(740) 779-4257
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.14264-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079125
—
OH
Enumeration date
01/12/2013
Last updated
11/25/2020
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