MEDICARE: MS. VIVA NANETTE CASLER ARNP

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
1	363L00000X	Nurse Practitioner	4704211059	MI
2	363LF0000X	Family Nurse Practitioner	3056392	FL

General Provider Information

NPI Number	:	1477544351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VIVA NANETTE CASLER ARNP

Provider Business Mailing Address
First Line	:	PO BOX 232
Second Line	:
City	:	DADE CITY
State	:	FL
Zip	:	33526-0232
Country	:	US
Telephone Number	:	352-518-2000
Fax Number	:	352-567-5193

Provider Business Practice Location Address
First Line	:	2114 SEVEN SPRINGS BLVD
Second Line	:	PREMIER COMMUNITY HEALTHGROUP
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-3908
Country	:	US
Telephone Number	:	352-518-2000
Fax Number	:	352-567-1974

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	03/13/2015

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