Individual
MISS CASEY JO BUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Mailing address
N7082 EVERGREEN DR, RIB LAKE, WI 54470-9706
(715) 305-7017
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
8375-33
WI
363L00000X
Nurse Practitioner
Primary
8375
WI
363LF0000X
Family Nurse Practitioner
8375-33
WI
Other
Enumeration date
07/18/2018
Last updated
04/05/2024
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