Prestigiacomo, Casey Nicole

Prestigiacomo, Casey Nicole is an individual health care provider with primary practice located at 189 Adam Shepherd Pkwy Ste 14 , Shepherdsville KY 40165-6579. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Prestigiacomo, Casey Nicole can be contacted via phone (502) 531-9823.

Contact Information

Primary practice address
189 Adam Shepherd Pkwy Ste 14 Shepherdsville KY 40165-6579
Phone: (502) 531-9823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3015000 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3015000 Kentucky

Profile Details

NPI number 1154934743
LBN Legal business name Prestigiacomo, Casey Nicole
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2020
Last updated May 3rd, 2022 - about 2 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 1154934743 NPPES
Kentucky MEDICAID 1951718949

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