Individual provider · Type 1 NPI

Casey Wilson Northrup, MD

Student in an Organized Health Care Education/Training Program · Wilmington, NC

NPI number 1710828488 Active

Practice location

2131 S 17th St
Wilmington, NC 28401-7407

Call (910) 343-7000 Map

Fax (910) 667-5650

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XRTL26-0063 (NC)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710828488

Casey Wilson Northrup, MD's National Provider Identifier is 1710828488, issued on Apr 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Wilmington, NC. The record was last updated on Jul 9, 2026.