NPI 1255705000 · live from the CMS NPI Registry
Lakeva Casey
Nurse Practitioner, Pediatrics in Florence, AL. National Provider Identifier 1255705000, active.
NPI record
| NPI | 1255705000 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 2530 Florence Blvd Ste D, Florence, AL 35630 |
| Practice phone | 568-021-5002 |
| Mailing address | Po Box 2874, Florence, AL 35630 |
| Enumerated | November 17, 2015 |
| Last updated | April 22, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 1130759 (AL) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-130759 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.