Individual
MR. CASEY WADE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1005 E 23RD ST, FREMONT, NE 68025-0800
(866) 784-2329
Mailing address
242 SHERMAN DR, GASSVILLE, AR 72635-8775
(870) 405-6617
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R72349
AR
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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