Healthcare Provider Details

I. General information

NPI: 1285458638
Provider Name (Legal Business Name): CHRISTINA CASAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 CARRAWAY DR STE A
WINFIELD AL
35594-5074
US

IV. Provider business mailing address

1414 COUNTRY CLUB RD
SULLIGENT AL
35586-4420
US

V. Phone/Fax

Practice location:
  • Phone: 205-487-1586
  • Fax:
Mailing address:
  • Phone: 205-712-4382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2024030993
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: