Provider Demographics
NPI:1013574185
Name:HUEY, KASEY ALYSE (FNP)
Entity Type:Individual
Prefix:MS
First Name:KASEY
Middle Name:ALYSE
Last Name:HUEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6423
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-6423
Mailing Address - Country:US
Mailing Address - Phone:480-890-7705
Mailing Address - Fax:480-398-8095
Practice Address - Street 1:3686 S ROME ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7341
Practice Address - Country:US
Practice Address - Phone:480-890-7705
Practice Address - Fax:480-398-8095
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ223071363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily