Provider Demographics
NPI:1437555257
Name:DORR, CASIE I (CNM)
Entity Type:Individual
Prefix:
First Name:CASIE
Middle Name:I
Last Name:DORR
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:CASIE
Other - Middle Name:I
Other - Last Name:BARRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 MERCY DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-3128
Mailing Address - Country:US
Mailing Address - Phone:712-388-2860
Mailing Address - Fax:712-388-2838
Practice Address - Street 1:800 MERCY DR
Practice Address - Street 2:SUITE 110
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-3128
Practice Address - Country:US
Practice Address - Phone:712-388-2860
Practice Address - Fax:712-388-2838
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE120064367A00000X
IAB117145367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife