White, Casey D

White, Casey D is an sole proprietor health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0001. 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 / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. White, Casey D can be contacted via phone (309) 672-4433.

Contact Information

Primary practice address
221 Ne Glen Oak Ave Peoria IL 61636-0001
Phone: (309) 672-4433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209022758 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 209022758 Illinois

Profile Details

NPI number 1487247821
LBN Legal business name White, Casey D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2021
Last updated Mar 15th, 2023 - 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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