MEDICARE: CASEY ELIZABETH CASH 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
1	363LF0000X	Family Nurse Practitioner	APN.0998797-NP	CO

General Provider Information

NPI Number	:	1972290229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASEY ELIZABETH CASH FNP-BC

Provider Business Mailing Address
First Line	:	425 W MULBERRY ST STE 112
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-2864
Country	:	US
Telephone Number	:	970-821-7651
Fax Number	:	970-289-9656

Provider Business Practice Location Address
First Line	:	425 W MULBERRY ST STE 112
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-2864
Country	:	US
Telephone Number	:	970-821-7651
Fax Number	:	970-289-9656

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

Provider Enumeration Date	:	04/18/2023
Last Update Date	:	01/19/2026

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