St. John, Casey
St. John, Casey is an individual health care provider with primary practice located at 1301 Farmington Ave , Bristol CT 06010-4776. 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. St. John, Casey can be contacted via phone (860) 589-4501.Contact Information
Primary practice address
1301 Farmington Ave
Bristol CT 06010-4776
Phone: (860) 589-4501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 10725 | Connecticut |
Profile Details
| NPI number | 1194434308 |
|---|---|
| LBN Legal business name | St. John, Casey |
| Credentials | DNP, APRN, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2022 |
| Last updated | Nov 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194434308 | NPPES |
| Connecticut | MEDICAID | 37-1552719 |
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