Provider Demographics
NPI:1922196377
Name:CASALE, ANN PATRICE (AARNP)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:PATRICE
Last Name:CASALE
Suffix:
Gender:F
Credentials:AARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 HERITAGE DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-3000
Mailing Address - Country:US
Mailing Address - Phone:561-354-1515
Mailing Address - Fax:561-354-1528
Practice Address - Street 1:600 HERITAGE DR
Practice Address - Street 2:SUITE 210
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3000
Practice Address - Country:US
Practice Address - Phone:561-354-1515
Practice Address - Fax:561-354-1528
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2733522363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP17642Medicare UPIN