Individual
CASEY MALICOAT
Active
Individual
CASEY MALICOAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
400060
OH
363L00000X
Nurse Practitioner
71014933A
IN
363L00000X
Nurse Practitioner
C-APN.0103288-C-NP
CO
363LF0000X
Family Nurse Practitioner
3014454
KY
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024524
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001329868
BCBS OH
—
05
—
0360440
—
OH
01
—
14435766
CAQH
—
01
—
QMP000004855095
MOLINA
—
Enumeration date
02/21/2014
Last updated
01/20/2026
Update your record
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