Individual
CASEY BODKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 14TH AVE SE STE 200, DECATUR, AL 35601-3354
(256) 705-4224
(256) 705-4135
Mailing address
PO BOX 18428, HUNTSVILLE, AL 35804-8428
(256) 705-4224
(256) 705-4135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-143476
AL
363LF0000X
Family Nurse Practitioner
Primary
1-143476
AL
Other
Enumeration date
12/22/2022
Last updated
02/02/2026
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