Provider Demographics
NPI:1497346878
Name:GILLING-ALLEN, CASEY-ANNE RENEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CASEY-ANNE
Middle Name:RENEE
Last Name:GILLING-ALLEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 E MAIN APT AA205
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-6792
Mailing Address - Country:US
Mailing Address - Phone:954-253-0441
Mailing Address - Fax:
Practice Address - Street 1:1715 E MAIN APT AA205
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-6792
Practice Address - Country:US
Practice Address - Phone:954-253-0441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60837039163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse