Healthcare Provider Details

I. General information

NPI: 1407324999
Provider Name (Legal Business Name): GRETCHEN KAY CASCI APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS GRETCHEN KAY YEABOWER

II. Dates (important events)

Enumeration Date: 11/02/2018
Last Update Date: 09/29/2022
Certification Date: 09/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2630 CENTRAL AVE
EIELSON AFB AK
99702-2301
US

IV. Provider business mailing address

1919 S WHEELING AVE LOWR LEVEL
TULSA OK
74104-5638
US

V. Phone/Fax

Practice location:
  • Phone: 907-377-1847
  • Fax:
Mailing address:
  • Phone: 918-748-7890
  • Fax: 918-403-6300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number113215
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: