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Casey At Dively, NP-C
Family Nurse Practitioner in Taylorville, Illinois
NPI 1386171809

Casey At Dively is a Family Nurse Practitioner based in Taylorville, IL and is specialized in Family. Casey At Dively practices in Taylorville, IL and has the professional credentials of NP-C. The NPI Number for Casey At Dively is 1386171809 and holds a License No. 209015986041408044 (Illinois).

The current practice location address for Casey At Dively is 1304 Burnett Dr, Taylorville, IL and can be reached out via phone at 217-321-9310.

Location: 1304 Burnett Dr, Taylorville, IL, 62568-9519
person
Provider Profile Details
NPI Number
1386171809
Provider Name
Casey At Dively
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
1304 Burnett Dr, Taylorville, IL, 62568-9519
Phone Number
217-321-9310
Fax Number
Provider Enumeration Date
05/15/2017
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1304 Burnett Dr
City
State
Zip
62568-9519
Phone Number
217-321-9310
Fax Number
person
Provider Business Mailing Address Details
Address
1304 Burnett Dr
City
State
Zip
62568-9519
Phone Number
217-321-9310
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209015986041408044 (Illinois)
Definition
Definition to come...
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