Individual provider · Type 1 NPI

Casey Michael Favre, NP-C

Family Nurse Practitioner · Diamondhead, MS

NPI number 1073806246 Active

Practice location

4540 B Shepherds Squard
Diamondhead, MS 39525

Call (228) 255-8216 Map

Fax (228) 255-8219

Mailing address

149 Drinkwater Rd
Bay St. Louis, MS 39520-1658

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR875413 (MS)
Acute Care Nurse Practitioner 363LA2100XR875413 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1073806246

Casey Michael Favre, NP-C's National Provider Identifier is 1073806246, issued on May 22, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Diamondhead, MS. The record was last updated on Jan 17, 2014.