Individual provider · Type 1 NPI
Casey L. Nolan, NP
Family Nurse Practitioner · West Bend, WI
NPI number
1104176304
Active
Practice location
3200 Pleasant Valley Rd, Internal Medicine
West Bend, WI 53095-9274
Fax (262) 836-7301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 163697 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104176304
Casey L. Nolan, NP's National Provider Identifier is 1104176304, issued on Sep 14, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Bend, WI. The record was last updated on Sep 14, 2012.