Casey, Andrea Grace

Casey, Andrea Grace is an individual health care provider with primary practice located at 1373 E Sr 62 , Madison IN 47250. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Casey, Andrea Grace can be contacted via phone (812) 801-0603.

Contact Information

Primary practice address
1373 E Sr 62 Madison IN 47250
Phone: (812) 801-0603
Fax: (812) 801-0589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007196 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004307A Indiana

Profile Details

NPI number 1295012227
LBN Legal business name Casey, Andrea Grace
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2011
Last updated Jun 22nd, 2018 - about 6 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 1295012227 NPPES
Kentucky MEDICAID 7100189040
Kentucky Other 9761853
Kentucky Other 50051569
Kentucky MEDICAID 201147760
Kentucky Other 798312

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