Individual
TERESA C CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3315 S CAMPBELL AVE, SPRINGFIELD, MO 65807-4914
(417) 886-2219
(417) 886-2293
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
120039
MO
363L00000X
Nurse Practitioner
Primary
120039
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932337219
NPI
MO
Enumeration date
06/25/2009
Last updated
06/05/2019
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