Individual provider · Type 1 NPI

Richard Claude Casserino, FNP-C

Nurse Practitioner · Bolivia, NC

NPI number 1174469753 Active

Practice location

257 Hospital Dr NE Ste 101
Bolivia, NC 28422-8411

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X299124 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174469753

Richard Claude Casserino, FNP-C's National Provider Identifier is 1174469753, issued on Apr 27, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bolivia, NC. The record was last updated on Aug 23, 2026.