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NPI Code Detail

MEDICARE: MR. CASEY WILLIAM SASSER FNP-BC

MEDICARE: MR. CASEY WILLIAM SASSER FNP-BC
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
1208M00000XHospitalist Physician14020TN
2363LF0000XFamily Nurse PractitionerAPN0000014020TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275774051
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CASEY WILLIAM SASSER FNP-BC
Provider Business Mailing Address
First Line : 719 THOMPSON LN STE 30330
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-4701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3443 DICKERSON PIKE STE 680
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-2537
Country : US
Telephone Number : 615-865-3322
Fax Number : 615-467-6692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2009
Last Update Date : 03/21/2022

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