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NPI Code Detail

MEDICARE: MRS. JULIA MICHELLE CASIDAY FNP-C

MEDICARE: MRS. JULIA MICHELLE CASIDAY FNP-C
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
1363LF0000XFamily Nurse PractitionerAP07646LA

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 : 1740605484
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIA MICHELLE CASIDAY FNP-C
Provider Business Mailing Address
First Line : 2104 LOOP RD STE C
Second Line :
City : WINNSBORO
State : LA
Zip : 71295-3341
Country : US
Telephone Number : 318-435-4571
Fax Number :
Provider Business Practice Location Address
First Line : 2104 LOOP RD STE C
Second Line :
City : WINNSBORO
State : LA
Zip : 71295-3341
Country : US
Telephone Number : 318-435-4571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2014
Last Update Date : 09/19/2019

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