Casady, Nicole

Casady, Nicole is an individual health care provider with primary practice located at 1155 N Honey Creek Pkwy , Wauwatosa WI 53213-3189. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Casady, Nicole can be contacted via phone (414) 615-5900.

Contact Information

Primary practice address
1155 N Honey Creek Pkwy Wauwatosa WI 53213-3189
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6855 Wisconsin

Profile Details

NPI number 1417310160
LBN Legal business name Casady, Nicole
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2016
Last updated Nov 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417310160 NPPES
Wisconsin MEDICAID 100059296

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