Provider Demographics
NPI:1508113945
Name:CASEY, VALARIE JEAN (LPN)
Entity Type:Individual
Prefix:MISS
First Name:VALARIE
Middle Name:JEAN
Last Name:CASEY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 GORETTI DR
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:OH
Mailing Address - Zip Code:44405-1905
Mailing Address - Country:US
Mailing Address - Phone:330-553-1566
Mailing Address - Fax:
Practice Address - Street 1:87 GORETTI DR
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:OH
Practice Address - Zip Code:44405-1905
Practice Address - Country:US
Practice Address - Phone:330-553-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN109026164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse