MEDICARE: ASHLYN FAITH CASEY APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	APN.0999893-NP	CO

General Provider Information

NPI Number	:	1538991039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLYN FAITH CASEY APRN

Provider Business Mailing Address
First Line	:	1411 N BECKLEY AVE STE 152
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1586
Country	:	US
Telephone Number	:	214-948-7700
Fax Number	:	214-948-7701

Provider Business Practice Location Address
First Line	:	1411 N BECKLEY AVE STE 152
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-1586
Country	:	US
Telephone Number	:	214-948-7700
Fax Number	:	214-948-7701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	06/11/2026

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Directions to “ ASHLYN FAITH CASEY APRN” Practice Location

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