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Individual

KATIE MARIE CASEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, DNP

Contact information

Practice address
1300 S COLUMBIA RD, GRAND FORKS, ND 58201-4012
(701) 780-6900
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1981

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R39964
ND
363LF0000X
Family Nurse Practitioner
Primary
R39964
ND

Other

Enumeration date
07/05/2022
Last updated
08/10/2022
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