Individual
HALEY CASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
612 COURT ST, OTTAWA, IL 61350-2915
(815) 433-4111
Mailing address
612 COURT ST, OTTAWA, IL 61350-2915
(815) 433-4111
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209027520
IL
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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