Individual
CASEY M HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4571 S WASHINGTON ST, GRAND FORKS, ND 58201-7268
(701) 757-3376
Mailing address
515 12TH ST NE, DILWORTH, MN 56529
(701) 361-8025
(701) 234-4877
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1717185
MN
363LF0000X
Family Nurse Practitioner
Primary
29370
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126677200
—
MN
05
—
19829
—
ND
Enumeration date
07/25/2006
Last updated
04/24/2024
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