NPI 1770363210

Nikel Austelly Casimir, PA

Practitioner Physician Assistant Florence, AZ

Practice location

Address: 4374 East Butte Avenue Eyman/ Meadowns Unit, Florence, AZ 85132
Phone: (978) 767-7612
Mailing address: 133 Pleasant St APT 2, North Andover, MA 01845-2700

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9972 (AZ)

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Registry record

NPI: 1770363210
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2023
Record last updated: 18 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.