Individual provider · NPI-1

Nishena Marie Casey

Community Health Worker · Loma Linda, CA

NPI number1326813346
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1326813346
Entity type
Individual (NPI-1)
Name
Nishena Marie Casey
Sex
Female
Sole proprietor
No
Enumeration date
Nov 20, 2023
Certification date
Nov 20, 2023
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker–CAYes

Practice location

11374 Mountain View Ave
Dover Building, Suite B
Loma Linda, CA 92354

Phone 909-558-4000

Mailing address

11374 Mountain View Ave
Dover Building, Suite A
Loma Linda, CA 92354

Phone 909-558-4000

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