Provider Demographics
NPI:1407324999
Name:CASCI, GRETCHEN KAY (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:GRETCHEN
Middle Name:KAY
Last Name:CASCI
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:MISS
Other - First Name:GRETCHEN
Other - Middle Name:KAY
Other - Last Name:YEABOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1919 S WHEELING AVE LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104-5638
Mailing Address - Country:US
Mailing Address - Phone:918-748-7890
Mailing Address - Fax:918-403-6300
Practice Address - Street 1:2630 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:EIELSON AFB
Practice Address - State:AK
Practice Address - Zip Code:99702-2301
Practice Address - Country:US
Practice Address - Phone:907-377-1847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-02
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK113215363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F09181127OtherAANP FNP CERTIFICATION
TX950888OtherTEXAS RN LICENSE
TXAP139588OtherTEXAS APRN LICENSE