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NPI Code Detail

MEDICARE: MISS DONNA J CASEY

MEDICARE: MISS DONNA J CASEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN37009RI

General Provider Information

NPI Number : 1013215797
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS DONNA J CASEY
Provider Business Mailing Address
First Line : 4612 NORTH 28TH ST
Second Line : CAMELBACK HIGH SCHOOL
City : PHOENIX
State : AZ
Zip : 85016
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4612 NORTH 28TH ST
Second Line : CAMELBACK HIGH SCHOOL
City : PHOENIX
State : AZ
Zip : 85016
Country : US
Telephone Number : 602-764-7122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2011
Last Update Date : 03/04/2011

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Directions to “ MISS DONNA J CASEY ” Practice Location

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