Individual
MR. DOUGLAS CHARLES CASERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC, CNP
Contact information
Practice address
5735 MEEKER RD, GREENVILLE, OH 45331-1186
(937) 548-3806
(937) 548-2087
Mailing address
10053 EUPHEMIA CASTINE RD, LEWISBURG, OH 45338-9534
(937) 670-2745
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
COA.09311-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.09311
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2853676
—
OH
01
—
NP-09311
LICENSE
—
Enumeration date
07/10/2007
Last updated
07/25/2023
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