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Individual

MRS. ANN MARIE CASEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1166 E WARNER RD, SUITE 101, GILBERT, AZ 85296-3064
(480) 570-0497
(480) 452-0145
Mailing address
1166 E WARNER RD, SUITE 101, GILBERT, AZ 85296-3064
(480) 570-0497
(480) 452-0145

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP4476
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP4476
AZBON
AZ
Enumeration date
05/11/2012
Last updated
01/10/2014
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