Healthcare Provider Details

I. General information

NPI: 1003721614
Provider Name (Legal Business Name): CASEY ANDREWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8245 SECOR RD
LAMBERTVILLE MI
48144-9703
US

IV. Provider business mailing address

8245 SECOR RD
LAMBERTVILLE MI
48144-9703
US

V. Phone/Fax

Practice location:
  • Phone: 419-481-3105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN.515949
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: