Individual
MRS. DIANE DENISE CASEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-4331
(260) 373-4323
Mailing address
12302 BAYSHORE BLVD, GRABILL, IN 46741-9609
(260) 373-4331
(260) 373-4323
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000525
IN
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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