Provider Demographics
NPI:1497397863
Name:WARF, CASEY NICOLE (F-NP)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:NICOLE
Last Name:WARF
Suffix:
Gender:F
Credentials:F-NP
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:NICOLE
Other - Last Name:STAMPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 226
Mailing Address - Street 2:
Mailing Address - City:MAYKING
Mailing Address - State:KY
Mailing Address - Zip Code:41837-0226
Mailing Address - Country:US
Mailing Address - Phone:276-870-5277
Mailing Address - Fax:
Practice Address - Street 1:115 LEE AVE STE 101
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-2047
Practice Address - Country:US
Practice Address - Phone:606-727-5296
Practice Address - Fax:606-727-5297
Is Sole Proprietor?:No
Enumeration Date:2019-10-17
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3013863363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily