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NPI Code Detail

MEDICARE: NICOLE MARIE CASEY MD

MEDICARE: NICOLE MARIE CASEY MD
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
1207Q00000XFamily Medicine PhysicianDR.0072374CO

General Provider Information

NPI Number : 1851852834
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MARIE CASEY MD
Provider Business Mailing Address
First Line : 7120 E COUNTY LINE RD
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80126-3926
Country : US
Telephone Number : 204-465-8917
Fax Number :
Provider Business Practice Location Address
First Line : 7120 E COUNTY LINE RD
Second Line :
City : HIGHLANDS RANCH
State : CO
Zip : 80126-3926
Country : US
Telephone Number : 204-465-8917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2019
Last Update Date : 02/06/2025

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