Provider Demographics
NPI:1215545892
Name:BURRIGHT, CASIE M
Entity Type:Individual
Prefix:
First Name:CASIE
Middle Name:M
Last Name:BURRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3477 CANYON DE FLORES STE E
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-5335
Mailing Address - Country:US
Mailing Address - Phone:520-378-3277
Mailing Address - Fax:
Practice Address - Street 1:3477 CANYON DE FLORES STE E
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650-5335
Practice Address - Country:US
Practice Address - Phone:520-378-3277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTHAD12031237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZTHAD12031OtherTEMPORARY HEARING AID SPECIALIST