Healthcare Provider Details

I. General information

NPI: 1184301244
Provider Name (Legal Business Name): CASEY MARIE CHRISTEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASEY MARIE CHRISTEN DO

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 MERCY RD
OMAHA NE
68124-2319
US

IV. Provider business mailing address

7710 MERCY RD STE 202
OMAHA NE
68124-2353
US

V. Phone/Fax

Practice location:
  • Phone: 855-524-4001
  • Fax: 402-398-5589
Mailing address:
  • Phone: 402-280-4210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number3174
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: