Provider Demographics
NPI:1457816035
Name:CASE, JAMES R (ARNP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:CASE
Suffix:
Gender:M
Credentials:ARNP
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Mailing Address - Street 1:5615 DUNBARTON AVE
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-8216
Mailing Address - Country:US
Mailing Address - Phone:877-522-1275
Mailing Address - Fax:509-491-3031
Practice Address - Street 1:2609 RIVER RD
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-1133
Practice Address - Country:US
Practice Address - Phone:775-221-2758
Practice Address - Fax:509-491-3031
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WARN60262699207QA0401X
WAAP60942015363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine