Casey Marie Dillon, CPNP-AC
Nurse Practitioner, Pediatrics in Troy, MI. Individual provider (NPI-1).
NPI number1780337089
StatusActive
Last updated in NPPESJun 9, 2022
Details
- NPI
- 1780337089
- Entity type
- Individual (NPI-1)
- Name
- Casey Marie Dillon
- Credential
- CPNP-AC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2022
- Certification date
- Jun 7, 2022
- Last updated
- Jun 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 4704306658 | MI | Yes |
Other names
- Casey Marie Parker (Former Name)
Practice location
44201 Dequindre RdTroy, MI 48085-1117
Phone 248-964-3476
Mailing address
26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Other practice locations
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Royal Oak, MI 48073-6712
Phone 248-898-5000
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