Individual provider · Type 1 NPI
Mary Casebolt, FNP
Family Nurse Practitioner · Conroe, TX
NPI number
1588933774
Active
Practice location
299 George Strake Blvd, Ste B
Conroe, TX 77304-2844
Fax (936) 523-4205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2009038257 (MO) |
| Family Nurse Practitioner | 363LF0000X | 845363 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1588933774
Mary Casebolt, FNP's National Provider Identifier is 1588933774, issued on Dec 19, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Conroe, TX. The record was last updated on Nov 21, 2013.