Casey Tingstrom
Nurse Practitioner - Primary Care
5712 Whispering Woods Dr
Pace
, Florida 32571-8352
Casey Tingstrom
Nurse Practitioner - Primary Care
5712 Whispering Woods Dr
Pace
, Florida 32571-8352
(850) 420-3246
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Casey Tingstrom
- 5712 Whispering Woods Dr
- Pace, FL
- Zip : 32571-8352
- Phone : (850) 420-3246
Second Address
- Casey Tingstrom
- 5712 Whispering Woods Dr
- Pace, FL
- Zip : 32571-8352
- Phone : (850) 420-3246
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | ARNP 9309434 | FL |
National Provider Identifier
| NPI | 1013381631 |
|---|---|
| Provider Name | Casey Tingstrom |
| First Address | Pace, FL 32571-8352 |
| Second Address | Pace, FL 32571-8352 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/11/2015 |
| Last Update Date | 04/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.