Individual
ASHLANN CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-6671
Mailing address
615 W JACCARD PL, JOPLIN, MO 64801-1018
(816) 646-5620
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2018024233
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2025016889
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/04/2024
Last updated
05/28/2025
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