MEDICARE: CASEY PARKSKRAMER

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	251E00000X	Home Health Agency	LCR-236196-22198	AZ

General Provider Information

NPI Number	:	1922513068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASEY PARKSKRAMER

Provider Business Mailing Address
First Line	:	3938 E GRANT RD # 408
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2559
Country	:	US
Telephone Number	:	520-549-9512
Fax Number	:

Provider Business Practice Location Address
First Line	:	3408 N RIVER RAPIDS DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-6662
Country	:	US
Telephone Number	:	520-549-9512
Fax Number	:

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

Provider Enumeration Date	:	12/12/2017
Last Update Date	:	06/10/2026

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Directions to “ CASEY PARKSKRAMER ” Practice Location

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