Individual provider · Type 1 NPI

Casey Wall Southards, FNP-C

Family Nurse Practitioner · Forest City, NC

NPI number 1609123306 Active

About NPI 1609123306

Casey Wall Southards, FNP-C's National Provider Identifier is 1609123306, issued on Aug 13, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Forest City, NC. The record was last updated on Dec 3, 2015.