Individual provider · Type 1 NPI

Casey M. Street, FNP-BC

Family Nurse Practitioner · Pine Grove, WV

NPI number 1043566474 Active

Practice location

Rt 20
Pine Grove, WV 26419-0418

Call (304) 889-3344 Map

Mailing address

PO Box 418
Pine Grove, WV 26419-0418

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	73105 (WV)

Family Nurse Practitioner: Definition to come...

About NPI 1043566474

Casey M. Street, FNP-BC's National Provider Identifier is 1043566474, issued on Aug 3, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pine Grove, WV. The record was last updated on Aug 3, 2012.