Healthcare Provider Details

I. General information

NPI: 1659650521
Provider Name (Legal Business Name): CASEY E FINCHER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 01/24/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3002 HIGHWAY K
O FALLON MO
63368-8675
US

IV. Provider business mailing address

3002 HIGHWAY K
O FALLON MO
63368-8675
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 636-272-5856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2015001973
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: